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Organization

SILVER LANE MEDICAL GROUP

Active
Parent organization
MEDICAL CARE CENTER OF EAST HARTFORD LLC
Other names
Silver Lane Medical Center, SILVER LANE MEDICAL GROUP
Organization subpart
Yes

Provider details

NPI number
Legal business name
MEDICAL CARE CENTER OF EAST HARTFORD LLC
Authorized official
DR. SULTAN QURAISHI MD (MEDICAL DIRECTOR)
(860) 568-7243
Entity
Organization

Contact information

Practice address
677 SILVER LN, EAST HARTFORD, CT 06118-1257
(860) 568-7243
(860) 895-8107
Mailing address
677 SILVER LN, EAST HARTFORD, CT 06118-1257
(860) 568-7243
(860) 895-8107

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
208D00000X
General Practice Physician
363LF0000X
Family Nurse Practitioner
363LP2300X
Primary Care Nurse Practitioner

Other

Enumeration date
07/11/2006
Last updated
08/25/2023
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