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MEDEXPRESS - WATERS CORP MILFORD
NPI 1093219438
General Practice in Milford, MA

Active since March 21, 2018
34 MAPLE ST, MILFORD, MA 01757(508) 482-2315(508) 482-2988 Get Directions Write a Review

NPPES record last updated: March 21, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Medexpress - Waters Corp Milford NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDEXPRESS - WATERS CORP MILFORD (NPI 1093219438) is a healthcare organization registered as a general practice in Milford, Massachusetts and active in the NPI registry since March 2018. The organization lists Brett Gall, Director Payor Contracting, as its authorized official.

NPPES Registry Identity

NPI1093219438
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMEDEXPRESS PRIMARY CARE MASSACHUSETTS, P.C.
Location Address34 MAPLE STMilford, MA 01757-3604
Mailing Address1001 Consol Energy DrCanonsburg, PA 15317-6506 · (304) 225-2500 · Fax (724) 743-1133
Phone(508) 482-2315
Fax(508) 482-2988
Organization SubpartNo
Authorized OfficialBrett GallDirector Payor Contracting · (304) 225-2500
Enumeration DateMarch 21, 2018
✔ NPI 1093219438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedFamily MedicineTaxonomy 207Q00000X
34 MAPLE ST, Milford, MA 01757
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Other Names 1

Doing Business AsMedexpress - Waters Corp Milford

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 22D2149694

Medexpress Waters · Milford, MA
Expired · Jun 7, 2026
CLIA Number22D2149694
Laboratory TypePhysician Office
Certificate Effective DateJune 8, 2024
Certificate Expiration DateJune 7, 2026
Laboratory DirectorDavid R. Ferrell
Laboratory Phone(508) 482-2168
Laboratory LocationMedexpress Waters34 Maple St, Milford, MA 01757
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is MEDEXPRESS PRIMARY CARE MASSACHUSETTS, P.C.'s NPI number?

The NPI number assigned to this healthcare provider is 1093219438, enumerated as an "organization" on March 21, 2018.

Where is the provider located?

The provider is located at 34 MAPLE ST MILFORD, MA 01757 and the phone number is (508) 482-2315.

What is the provider's specialty?

General Practice with taxonomy code 208D00000X.