Healthcare Provider Details

I. General information

NPI: 1770089997
Provider Name (Legal Business Name): MED-EX, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2018
Last Update Date: 02/16/2024
Certification Date: 09/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 POWDERMILL RD
ACTON MA
01720
US

IV. Provider business mailing address

100 POWDERMILL RD
ACTON MA
01720-5932
US

V. Phone/Fax

Practice location:
  • Phone: 978-637-2320
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MUHAMMAD BAJWA
Title or Position: OWNER
Credential: MD
Phone: 857-237-3350