Healthcare Provider Details

I. General information

NPI: 1386173300
Provider Name (Legal Business Name): MILFORD REGIONAL PHYSICIAN GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2017
Last Update Date: 09/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 COMMERCE DR
NORTHBRIDGE MA
01534
US

IV. Provider business mailing address

9 INDUSTRIAL RD STE 5
MILFORD MA
01757-3736
US

V. Phone/Fax

Practice location:
  • Phone: 508-372-3510
  • Fax: 508-234-2627
Mailing address:
  • Phone: 508-473-1480
  • Fax: 508-473-1210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PATRICK R MCSWEENEY
Title or Position: PRESIDENT
Credential: MD
Phone: 508-473-1480