| Organization Name: | MEDICAL CARE CENTER OF EAST HARTFORD LLC |
| NPI Number: | 1164456406 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SULTAN QURAISHI (MEDICAL DIRECTOR) |
| Mailing Address: | 677 Silver Ln East Hartford |
| State: | CT US |
| Postal Code: | 061181257 |
| Phone Number: | 8605687243 |
| Fax Number: | 8608958107 |
| NPI Enumeration Date: | 07/11/2006 |
| NPI Last Update Date: | 10/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |