Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 16950 | NH |
N | 208600000X | Surgeon | 16950 | NH |
N | 208200000X | Surgeon | L-221064 | MA |
N | 208600000X | Surgeon | L-221064 | MA |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 16950 | NH |
NPI | 1154457547 |
---|---|
Provider Name | Timothy M. Millington |
First Address | Lebanon, NH 03756-1000 |
Second Address | Lebanon, NH 03756-1000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 13/02/2015 |