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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
208600000X
Surgery Physician
030076
CT
208D00000X
General Practice Physician
030076
CT
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004239168
CT
01
010030076CT01
ANTHEM
CT
01
4245029
AETNA
CT
01
P3788258
OXFORD HEALTH PLANS
CT
Enumeration date
10/22/2008
Last updated
06/23/2023
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