Organization
VCARE FAMILY PRACTICE, LLC
Active
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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