STAFFORD MEDICAL GROUP LLC NPI 1518098698

NPI Information

STAFFORD MEDICAL GROUP LLC is a family medicine in Somers, CT. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. STAFFORD MEDICAL GROUP LLC NPI is 1518098698. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

146 MAIN ST
SOMERS, CT
ZIP 06071-825
Phone: (860) 749-8018
Fax: (860) 316-4015

The provider's authorized official is Sultan Alam Quraishi .
The authorized official title is Medical Director and has the following contact phone number (860) 558-3624.

The CLIA number assigned to this NPI record is 07D2007283 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 1/29/2015.

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:

Other Identifiers

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