Organization
VCARE FAMILY PRACTICE, LLC
Active
Other names
Shifa Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MOHAMED ALTAF HUSSAIN APRN, MBBS (CEO/ADVANCE PRACTICE REGISTERED NUR)
(860) 324-7988
Entity
Organization
Contact information
Practice address
145 UNION STREET, VERNON, CT 06066-3025
(860) 375-8440
(860) 858-4091
Mailing address
145 UNION STREET, VERNON, CT 06066-3025
(860) 375-8440
(860) 858-4091
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
005393
CT
Other
Enumeration date
03/09/2016
Last updated
02/05/2024
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