Individual
THOMAS BRYAN MILLER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
266 MAIN ST, GARDNER, MA 01440-2927
(978) 630-5030
(978) 630-5033
Mailing address
266 MAIN ST, GARDNER, MA 01440-2927
(978) 630-5030
(978) 630-5033
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
203841
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9716530
—
MA
Enumeration date
03/14/2006
Last updated
09/22/2014
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