Healthcare Provider Details

I. General information

NPI: 1225028939
Provider Name (Legal Business Name): MILFORD EMERGENCY ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 ASYLUM ST
MILFORD MA
01757-2203
US

IV. Provider business mailing address

14 ASYLUM ST
MILFORD MA
01757-2203
US

V. Phone/Fax

Practice location:
  • Phone: 508-473-5500
  • Fax: 508-478-6247
Mailing address:
  • Phone: 508-473-5500
  • Fax: 508-478-6247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY DAVID PUOPOLO
Title or Position: OWNER
Credential: M.D.
Phone: 508-473-5500