Stafford Medical Group LLC

NPI #1518098698 in Somers, Connecticut

Provider Information

NPI Number: 1518098698
Entity Type: Organization
Organization Name: Stafford Medical Group LLC
Primary Specialty: Family Medicine
Enumeration Date: Mar 8, 2007
Last Updated: Jan 29, 2015

Practice Location

Address: 146 MAIN ST
City: Somers
State: Connecticut
ZIP Code: 06071-1825
Phone: (860) 749-8018

Authorized Official

Name: DR. SULTAN ALAM QURAISHI, M.D.
Title: MEDICAL DIRECTOR
Phone: (860) 558-3624

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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