MILFORD MEDICAL CARE CENTER PC (NPI# 1427126465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427126465 |
| Entity Type | Organization |
| Organization Name | MILFORD MEDICAL CARE CENTER PC |
| Practice Address |
889 Bridgeport Ave Milford CT 06460 |
| Practice Telephone | 2037839899 |
| Practice Fax Number | 2038779538 |
| Mailing Telephone | 2037839899 |
| Mailing Fax Number | 2038779538 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2014-09-23 |
| Authorized Official Name | DR. JAE JIN KIM (OWNER/PRESIDENT) |
| Authorized Official Telephone | 2037839899 |
| Authorized Official Credential | MD, PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 019395 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
889 BRIDGEPORT AVE |
| City | MILFORD |
| State | CT |
| Zip Code | 06460 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477742062 | Jae Jin Kim | General Practice | 889 Bridgeport Ave, Milford Walk-in Medical Care Center, Milford, CT 06460-3139 | 2007-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678616 | Tracy Southworth | Social Worker | 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 | 2020-01-25 |
| 1598301707 | Mahboob Ur Rehman | Pharmacist | 1082 Boston Post Road, Milford, CT 06460 | 2019-11-22 |
| 1750800223 | Caitlin E Kingston | Counselor | 48 Argyle Rd, Milford, CT 06460 | 2017-09-15 |
| 1912437609 | Vanessa Elizabeth Kellas | Counselor | 949 Bridgport Ave, Milford, CT 06460 | 2017-06-14 |
| 1548634454 | Rian Degroat | Case Manager/Care Coordinator | 949-941 Bridgeport Ave, Milford, CT 06460 | 2015-11-17 |
| 1619354446 | Stephanie Meoli | Occupational Therapist | 195 Platt Street, Milford, CT 06460 | 2015-04-30 |
| 1588069298 | Elizabeth Laliberte | Counselor | 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 | 2014-10-24 |
| 1366869851 | Chamonix Sikora | Speech-Language Pathologist | 8b Church Street South, Westport, CT 06460 | 2014-03-24 |
| 1528404688 | Alexandra Garces | Nutritionist | 150 New Haven Avenue, Milford, CT 06460 | 2013-05-16 |
| 1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
| Find all providers in zip 06460 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770946600 | Sidney Edward Croul | General Practice | 247 Bay Ave, Milford, DE 19963-4909 | 2016-03-29 |
| 1730313255 | Andrew Dennis Mcbride | General Practice | 82 New Haven Ave, Milford, CT 06460-4827 | 2009-05-12 |
| 1275500332 | Robert H Reineck | General Practice | 1188 State Route 131, Milford, OH 45150 | 2006-03-07 |
| 1790775542 | Anthony David Puopolo | General Practice | 5 Water St, Milford, MA 01757-4105 | 2005-10-24 |
| 1154571370 | David C. Randolph | General Practice | 5724 Signal Hill Ct, Milford, OH 45150-1483 | 2008-09-24 |
| 1477742062 | Jae Jin Kim | General Practice | 889 Bridgeport Ave, Milford Walk-in Medical Care Center, Milford, CT 06460-3139 | 2007-10-18 |
| 1508880451 | Dolar Zumkhawala | General Practice | 935 State Route 28, Milford, OH 45150-1911 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669029773 | Medexpress Primary Care Texas, P.a. | General Practice | 185 Asylum Street, City Place 1, Hartford, CT 06103-3408 | 2019-08-22 |
| 1225510571 | David Warren Boxwell | General Practice | 67 Church St., Suite 300, Norwich, CT 06360-0636 | 2018-09-04 |
| 1407234685 | Adrian Kenneth Wyllie | General Practice | 4 Research Pkwy, Wallingford, CT 06492-1929 | 2015-05-08 |
| 1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
| 1528300191 | Theodore Herbert Johnson | General Practice | 141 S Mountain Dr, New Britain, CT 06052-1511 | 2013-03-21 |
| 1811237142 | Jose Buhain | General Practice | 19 Judson Ave Apt 5d, Woodbury, CT 06798-2844 | 2013-02-23 |
| 1548520661 | Cynthia Zywocinski | General Practice | 92 Everit St, New Haven, CT 06511-1321 | 2012-05-23 |
| 1093071631 | Roger Joseph Branson | General Practice | 12 Woodcreek Rd, Bethlehem, CT 06751-1705 | 2012-04-09 |
| 1427323401 | Kevin David Wolter | General Practice | 43 Oxford Ct, Mystic, CT 06355-1705 | 2012-03-09 |
| 1144590191 | Richard John Annulli | General Practice | 1037 Valley Rd, New Canaan, CT 06840-2818 | 2012-01-09 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MILFORD MEDICAL CARE CENTER PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.