Stafford Medical Group Llc

LBN: Stafford Medical Group Llc
Stafford Medical Group Llc is an health care organization with primary practice located at 146 Main St , Somers CT 06071-1825. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Surgery, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Stafford Medical Group Llc can be contacted via phone (860) 749-8018, or through Quraishi, Sultan Alam via phone (860) 558-3624.

Contact Information

Primary practice address
146 Main St Somers CT 06071-1825
Phone: (860) 749-8018
Fax: (860) 316-4015
Website:
Map and Directions
Authorized official contact:
Name: Quraishi, Sultan Alam Doctor of Medicine (MD)
Phone: (860) 558-3624

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30076 Connecticut
Allopathic & Osteopathic Physicians / Surgery 208600000X 30076 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5393 Connecticut

Profile Details

NPI number 1518098698
LBN Legal business name Stafford Medical Group Llc
DBA Doing business as
Authorized official Quraishi, Sultan Alam Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Jan 29th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518098698 NPPES
Connecticut Other 130076400 BLUE CARE FAMILY PLAN
Connecticut Other 010030076CT04 BLUE CARE FAMILY PLAN
Connecticut Other 4245029 BLUE CARE FAMILY PLAN
Connecticut Other 5861484 BLUE CARE FAMILY PLAN
Connecticut Other HAS028 BLUE CARE FAMILY PLAN
Connecticut Other 00000898346 BLUE CARE FAMILY PLAN
Connecticut Other 2V4565 BLUE CARE FAMILY PLAN
Connecticut MEDICAID 217079 BLUE CARE FAMILY PLAN
Connecticut Other 781160 BLUE CARE FAMILY PLAN

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