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NPI Code Detail

MEDICARE: DR. THOMAS JOSEPH CAMMILLERI D.O.

MEDICARE: DR. THOMAS JOSEPH CAMMILLERI D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician8735NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558350223
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS JOSEPH CAMMILLERI D.O.
Provider Business Mailing Address
First Line : PO BOX 458
Second Line : 207 STAGE RD
City : HAMPSTEAD
State : NH
Zip : 03841-0458
Country : US
Telephone Number : 603-329-5222
Fax Number : 603-329-8016
Provider Business Practice Location Address
First Line : 207 STAGE RD
Second Line :
City : HAMPSTEAD
State : NH
Zip : 03841-2224
Country : US
Telephone Number : 603-329-5222
Fax Number : 603-329-8016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2005
Last Update Date : 07/08/2007

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