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General NPI Number Information
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NPI Number | 1508681321
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Entity Type | Organization
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Legal Business Name | MILFORD REGIONAL PHYSICIAN GROUP, INC.
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 68A MAIN ST STE 101A
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City | MEDWAY
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State | MA
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Zip | 02053-1775
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Country | US
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Telephone | 508-321-2844
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Fax |
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Provider Business Mailing Address
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Address Line | 9 INDUSTRIAL RD STE 5
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City | MILFORD
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State | MA
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Zip | 01757-3736
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Country | US
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Telephone | 508-473-1480
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICK R MCSWEENEY
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Credential | MD
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Telephone | 508-473-1480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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