Provider Demographics
NPI:1700938461
Name:MILFORD CLINIC PHYSICIANS P A
Entity Type:Organization
Organization Name:MILFORD CLINIC PHYSICIANS P A
Other - Org Name:MILFORD URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ASSITANT MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:LIMARZI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:570-409-9700
Mailing Address - Street 1:111 E CATHARINE ST
Mailing Address - Street 2:SUITE 130
Mailing Address - City:MILFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18337-1389
Mailing Address - Country:US
Mailing Address - Phone:570-409-9700
Mailing Address - Fax:570-409-0290
Practice Address - Street 1:111 E CATHARINE ST
Practice Address - Street 2:SUITE 130
Practice Address - City:MILFORD
Practice Address - State:PA
Practice Address - Zip Code:18337-1389
Practice Address - Country:US
Practice Address - Phone:570-409-9700
Practice Address - Fax:570-409-0290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2009-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA207Q00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty