# MEDICAL CARE CENTER OF EAST HARTFORD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Silver Lane Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275785214
- **Authorized official:** DR. SULTAN A QURAISHI M.D. (PHYSICIAN/ OWNER)
- **Authorized official phone:** (860) 569-7399

## Contact information

- **Practice address:** 677 SILVER LN, EAST HARTFORD, CT 06118-1257
- **Practice address phone:** (860) 569-7399
- **Practice address fax:** (860) 895-8107
- **Mailing address:** 677 SILVER LN, EAST HARTFORD, CT 06118-1257
- **Mailing address phone:** (860) 569-7399
- **Mailing address fax:** (860) 895-8107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 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