Healthcare Provider Details
I. General information
NPI: 1285849349
Provider Name (Legal Business Name): MILFORD REGIONAL SLEEP CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/11/2007
Last Update Date: 09/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
194 WEST ST SUITE 10
MILFORD MA
01757
US
IV. Provider business mailing address
9 INDUSTRIAL RD STE 5
MILFORD MA
01757-3736
US
V. Phone/Fax
- Phone: 508-381-6590
- Fax: 508-381-6593
- Phone: 508-473-1480
- Fax: 508-473-1210
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QS1200X |
| Taxonomy | Sleep Disorder Diagnostic Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
PATRICK
R
MCSWEENEY
Title or Position: PRESIDENT
Credential: MD
Phone: 508-473-1480