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MEDICAL CARE CENTER OF EAST HARTFORD LLC NPI 1275785214


NPI Information

NPI: 1275785214
Provider Name: MEDICAL CARE CENTER OF EAST HARTFORD LLC

Doing Business As: SILVER LANE MEDICAL CENTER

Classification: Surgery - 208600000X
Entity Type: Organization

CLIA Number: 07D0859599

Address:
677 SILVER LN
EAST HARTFORD, CT
ZIP 06118
Phone: (860) 569-7399
Get Directions

MEDICAL CARE CENTER OF EAST HARTFORD LLC is a surgery in East Hartford, CT. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. MEDICAL CARE CENTER OF EAST HARTFORD LLC NPI is 1275785214. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Silver Lane Medical Center.

The provider's business location address is:

677 SILVER LN
EAST HARTFORD, CT
ZIP 06118-257
Phone: (860) 569-7399
Fax: (860) 895-8107

The provider's authorized official is Sultan A Quraishi .
The authorized official title is Physician/ Owner and has the following contact phone number (860) 569-7399.

The CLIA number assigned to this NPI record is 07D0859599 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/22/2008 and was last updated on 6/10/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice030076CONNECTICUTNo
2208600000XSurgery030076CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12V7144OTHERCONNECTICUTHEALTHNET
2004239168MEDICAIDCONNECTICUT
300000898346 15OTHERCONNECTICUTUNITED HEALTH CARE
4061322559OTHERCONNECTICUTUNICARE COMMONWEALTH
5206592OTHERCONNECTICUTWELLCARE/PREFERRED ONE
60200000976MEDICARE PINCONNECTICUT
7010030076CT01OTHERCONNECTICUTANTHEM
80199717OTHERCONNECTICUTCIGNA
94245029OTHERCONNECTICUTAETNA
10P3788258OTHERCONNECTICUTOXFORD HEALTH PLANS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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