Provider Demographics
NPI:1225028939
Name:MILFORD EMERGENCY ASSOCIATES, INC
Entity Type:Organization
Organization Name:MILFORD EMERGENCY ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:PUOPOLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-473-5500
Mailing Address - Street 1:14 ASYLUM ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-2203
Mailing Address - Country:US
Mailing Address - Phone:508-473-5500
Mailing Address - Fax:508-478-6247
Practice Address - Street 1:14 ASYLUM ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-2203
Practice Address - Country:US
Practice Address - Phone:508-473-5500
Practice Address - Fax:508-478-6247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD032956OtherTUFTS
MA34393OtherH.C.H.P
MA2002418Medicaid
MA758598OtherTUFTS
MAC10014OtherBLUE CROSS
MA17661OtherCIGNA
MA9714243Medicaid
MAM12700OtherBLUE CROSS
MA34393OtherH.C.H.P
MAC10014Medicare UPIN