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Organization
MEDICAL CARE CENTER OF EAST HARTFORD LLC
Active
Organization
MEDICAL CARE CENTER OF EAST HARTFORD LLC
Active
Other names
Silver Lane Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SULTAN A QURAISHI M.D. (PHYSICIAN/ OWNER)
(860) 569-7399
Entity
Organization
Contact information
Practice address
677 SILVER LN, EAST HARTFORD, CT 06118-1257
(860) 569-7399
(860) 895-8107
Mailing address
677 SILVER LN, EAST HARTFORD, CT 06118-1257
(860) 569-7399
(860) 895-8107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208600000X
Surgery Physician
030076
CT
208D00000X
General Practice Physician
030076
CT
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
10/22/2008
Last updated
06/23/2023
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