Provider Type Icon

MEDEXPRESS PRIMARY CARE MASSACHUSETTS P.C. NPI 1093219438


NPI Information

NPI: 1093219438
Provider Name: MEDEXPRESS PRIMARY CARE MASSACHUSETTS, P.C.

Doing Business As: MEDEXPRESS - WATERS CORP MILFORD

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 22D2149694

Address:
34 MAPLE ST
MILFORD, MA
ZIP 01757
Phone: (508) 482-2315
Get Directions

MEDEXPRESS PRIMARY CARE MASSACHUSETTS, P.C. is a general practice in Milford, MA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MEDEXPRESS PRIMARY CARE MASSACHUSETTS, P.C. NPI is 1093219438. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Medexpress - Waters Corp Milford.

The provider's business location address is:

34 MAPLE ST
MILFORD, MA
ZIP 01757-604
Phone: (508) 482-2315
Fax: (508) 482-2988

The provider's authorized official is Brett Gall .
The authorized official title is Director Payor Contracting and has the following contact phone number (304) 225-2500.

The CLIA number assigned to this NPI record is 22D2149694 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2018 and was last updated on 3/21/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.