# MILFORD REGIONAL PHYSICIAN GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184456634
- **Authorized official:** DEBORAH L WOODHAMS (CREDENTIALING PROVIDER ACTIVITY COO)
- **Authorized official phone:** (508) 473-1480

## Contact information

- **Practice address:** 68A MAIN ST STE 103, MEDWAY, MA 02053-1775
- **Practice address phone:** (508) 321-2845
- **Practice address fax:** (508) 321-2848
- **Mailing address:** 9 INDUSTRIAL RD STE 5, MILFORD, MA 01757-3736
- **Mailing address phone:** (508) 473-1480

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/14/2024
- **Last updated:** 08/14/2024