Individual
SAFDAR MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
281 E HARTFORD AVE, UXBRIDGE, MA 01569-1278
(508) 278-5573
(508) 278-7142
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
160789
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3205711
—
MA
Enumeration date
10/08/2005
Last updated
11/13/2020
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