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Contact Information

MEDICAL CARE CENTER OF EAST HARTFORD LLC
677 SILVER LN
EAST HARTFORD, CT06118-1257
 Phone: 860-569-7399
 Fax: 860-895-8107
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Family

363LF0000X 50 Nurse Practitioner
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MEDICAL CARE CENTER OF EAST HARTFORD LLC

NPI # 1275785214
LBN Legal business name MEDICAL CARE CENTER OF EAST HARTFORD LLC
Authorized official SULTAN QURAISHI - (PHYSICIAN/ OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/22/2008
Last updated 06/23/2023 - About 3 years ago
Identifiers
CT License # 030076
CT Medicaid 004239168
CT Other 4245029 AETNA
CT Other 010030076CT01 ANTHEM
CT Other P3788258 OXFORD HEALTH PLANS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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