Stafford Medical Group LLC
Family Medicine in Somers, Connecticut
1518098698- Practice location
- 146 Main St, Somers, CT 06071-1825
- Phone
- 860-749-8018
- Fax
- 860-316-4015
- Last updated
- January 29, 2015
Stafford Medical Group LLC is a healthcare organization based in Somers, CT. Stafford Medical Group LLC practices in Somers, CT. The NPI Number for Stafford Medical Group LLC is 1518098698 and holds a License No. 30076 (CT). The current practice location address for Stafford Medical Group LLC is 146 Main St, Somers, CT 06071-1825 and can be reached out via phone at 860-749-8018 and via fax at 860-316-4015.
Provider Profile Details
- NPI Number
- 1518098698
- Provider Name
- Stafford Medical Group LLC
- Provider Entity Type
- Organization
- Address
- 146 Main St, Somers, CT 06071-1825
- Phone Number
- 860-749-8018
- Fax Number
- 860-316-4015
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Sultan Alam Quraishi, MD · Medical Director · 860-558-3624
- Provider Enumeration Date
- March 8, 2007
- Last Update Date
- January 29, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 146 Main St
Somers, CT 06071-1825 - City
- Somers
- State
- Connecticut
- Zip
- 06071-1825
- Phone Number
- 860-749-8018
- Fax Number
- 860-316-4015
Provider Business Mailing Address Details
- Address
- 146 Main St
Somers, CT 06071-1825 - City
- Somers
- State
- CT
- Zip
- 06071-1825
- Phone Number
- 860-749-8018
- Fax Number
- 860-316-4015
License Information
- License Number (1)
- 30076
- License State (1)
- CT
- Taxonomy (1)
- Surgery · 208600000X
- License Number (2)
- 5393
- License State (2)
- CT
- Taxonomy (2)
- Nurse Practitioner · 363L00000X
- License Number (3)
- 30076
- License State (3)
- CT
- Taxonomy (3)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Somers, CT
View all Family Medicine providers in Somers →Frequently Asked Questions
What is the NPI number of Stafford Medical Group LLC?
The NPI number of Stafford Medical Group LLC is 1518098698. It was assigned on March 8, 2007 and is currently active in the NPPES registry.
What is the specialty of Stafford Medical Group LLC?
Stafford Medical Group LLC is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in CT under license number 30076.
Where does Stafford Medical Group LLC practice?
The practice location is 146 Main St, Somers, CT 06071-1825. The office can be reached at 860-749-8018 (phone) or 860-316-4015 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518098698 directly on the NPPES registry website.