| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 74 Main Street, Medway, Massachusetts |
| Authorized Official Name and Position | Carl M Sousa (MD) |
| Authorized Official Contact | 5085335168 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
74 Main Street Medway MA 02053 Ph: (508) 533-5168 | 74 Main Street Medway MA 02053 Ph: (508) 533-5168 |
| NPI Number | 1285718098 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 11/26/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285718098 | NPI | - | NPPES |
| 9793062 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 49040 (Massachusetts) | Primary |
Milford Regional Physician Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 68a Main St Ste 103, Medway, MA 02053 Phone: 508-321-2845 Fax: 508-321-2848 | |
Milford Regional Physician Group, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 68a Main St Ste 101a, Medway, MA 02053 Phone: 508-321-2844 |