Individual
FREDERICK MILLHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 WASHINGTON ST, SUITE 670 GREEN, NEWTON, MA 02462-1650
(617) 248-6496
(617) 243-6669
Mailing address
340 MAIN ST, STE. 670, WORCESTER, MA 01608-1604
(508) 754-3566
(508) 798-8012
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
72445
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3079171
—
MA
Enumeration date
07/14/2005
Last updated
09/10/2009
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