MEDICAL CENTER OF EAST HARTFORD LLC NPI 1811514292

NPI Information

MEDICAL CENTER OF EAST HARTFORD LLC is a general practice in East Hartford, CT. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee MEDICAL CENTER OF EAST HARTFORD LLC NPI is 1811514292. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

580 BURNSIDE AVE STE 2
EAST HARTFORD, CT
ZIP 06108-579
Phone: (860) 816-3231

The provider's authorized official is Anum Sheikh Ahmed .
The authorized official title is Owner and has the following contact phone number (860) 263-8266.

The CLIA number assigned to this NPI record is 07D2192368 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2020 and was last updated on 2/25/2021.

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:

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