Organization
SAINT FRANCIS CARE MEDICAL GROUP, P.C.
Active
Parent organization
SAINT FRANCIS CARE, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT FRANCIS CARE, INC
Authorized official
SURENDRA KHERA MD (CHIEF MEDICAL OFFICER)
(860) 714-4361
Entity
Organization
Contact information
Practice address
114 WOODLAND ST, SAINT FRANCIS CARE MEDICAL GROUP PC, HARTFORD, CT 06105-1208
(860) 979-1880
Mailing address
1000 ASYLUM AVE, SUITE 4309, HARTFORD, CT 06105-1770
(860) 714-1325
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004156437
—
CT
05
—
004211215
—
CT
05
—
008025819
—
CT
05
—
8413924000
—
CT
Enumeration date
05/18/2007
Last updated
03/11/2016
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