Organization
PREMIER MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED A MEMON MD (DIRECTOR)
(860) 587-7170
Entity
Organization
Contact information
Practice address
340 BROAD ST, SUITE 100, WINDSOR, CT 06095-3030
(860) 587-7170
(860) 580-7177
Mailing address
340 BROAD ST, SUITE 100, WINDSOR, CT 06095-3030
(860) 587-7170
(860) 580-7177
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001425885
—
CT
Enumeration date
09/10/2014
Last updated
09/10/2014
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