| Organization Name: | MEDICAL CARE CENTER |
| NPI Number: | 1790154953 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KHUBAIB SAEED MANSORI (GENERAL PARTNER) |
| Mailing Address: | 430 Highland Ave Cheshire |
| State: | CT US |
| Postal Code: | 064102565 |
| Phone Number: | 2035995462 |
| Fax Number: | |
| NPI Enumeration Date: | 09/17/2015 |
| NPI Last Update Date: | 09/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 025900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |