Provider Demographics
NPI:1457325722
Name:MILLS, MARGARET DENISE (MD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:DENISE
Last Name:MILLS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:155 BROADWAY RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-2755
Mailing Address - Country:US
Mailing Address - Phone:978-323-9666
Mailing Address - Fax:978-458-3574
Practice Address - Street 1:155 BROADWAY RD
Practice Address - Street 2:SUITE 6
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-2755
Practice Address - Country:US
Practice Address - Phone:978-458-0475
Practice Address - Fax:978-458-3574
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-14
Last Update Date:2017-12-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA160025207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ21694OtherBLUE CROSS BLUE SHIELD
MAA30198Medicare ID - Type Unspecified
MAH04140Medicare UPIN
MAA30198Medicare ID - Type Unspecified
160025OtherTUFTS
MAH04140Medicare UPIN