Individual
THOMAS MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
490 BLUE HILLS AVE, REHAB, HARTFORD, CT 06112-1513
(860) 714-2647
(860) 714-8517
Mailing address
1000 ASYLUM AVE, SUITE 2109A, HARTFORD, CT 06105-1770
(860) 714-6581
(860) 714-8311
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
039407
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001394072
—
CT
Enumeration date
07/13/2005
Last updated
03/31/2014
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