Provider Demographics
NPI:1730259631
Name:MILFORD MED-CARE INC.
Entity type:Organization
Organization Name:MILFORD MED-CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:A
Authorized Official - Last Name:RAZVI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:508-478-2700
Mailing Address - Street 1:160 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-3293
Mailing Address - Country:US
Mailing Address - Phone:508-478-2700
Mailing Address - Fax:508-478-4848
Practice Address - Street 1:160 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-3293
Practice Address - Country:US
Practice Address - Phone:508-478-2700
Practice Address - Fax:508-478-4848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2010-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA32320261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA24197OtherFALLON
MA226060OtherCIGNA
MA9772634Medicaid
MA732149OtherTUFTS
RIM15872OtherBLUE CROSS
MA44087OtherAETNA US HEALTHCARE
MA24197OtherFALLON
MAB18754Medicare UPIN