| Organization Name: | MILFORD MEDICAL CARE CENTER PC |
| NPI Number: | 1427126465 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAE JIN KIM (OWNER/PRESIDENT) |
| Mailing Address: | 889 Bridgeport Ave Milford |
| State: | CT US |
| Postal Code: | 06460 |
| Phone Number: | 2037839899 |
| Fax Number: | 2038779538 |
| NPI Enumeration Date: | 11/30/2006 |
| NPI Last Update Date: | 09/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 019395 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |