MEDICARE: MILFORD EMERGENCY ASSOCIATES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	032956	OTHER	MD	TUFTS
2	34393	OTHER	MA	H.C.H.P
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	758598	OTHER	MA	TUFTS
5	C10014	OTHER	MA	BLUE CROSS
6	17661	OTHER	MA	CIGNA
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	M12700	OTHER	MA	BLUE CROSS

General Provider Information

NPI Number	:	1225028939
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILFORD EMERGENCY ASSOCIATES, INC

Provider Business Mailing Address
First Line	:	14 ASYLUM ST
Second Line	:
City	:	MILFORD
State	:	MA
Zip	:	01757-2203
Country	:	US
Telephone Number	:	508-473-5500
Fax Number	:	508-478-6247

Provider Business Practice Location Address
First Line	:	14 ASYLUM ST
Second Line	:
City	:	MILFORD
State	:	MA
Zip	:	01757-2203
Country	:	US
Telephone Number	:	508-473-5500
Fax Number	:	508-478-6247

Authorized Official
Title or Position	:	OWNER
Name	:	ANTHONY DAVID PUOPOLO
Credential	:	M.D.
Telephone Number	:	508-473-5500

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	08/22/2020

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Directions to “MILFORD EMERGENCY ASSOCIATES, INC ” Practice Location

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