Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 78093 | MA |
NPI | 1013001585 |
---|---|
Provider Name | Thomas Deeg Sills |
First Address | Seekonk, MA 02771 |
Second Address | Seekonk, MA 02771 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 08/07/2007 |