| Medical Center Of East Hartford Llc | |
|
580 Burnside Ave Ste 2 East Hartford CT 06108-3579 | |
| (860) 816-3231 | |
| Not Available |
| Full Name | Medical Center Of East Hartford Llc |
|---|---|
| Speciality | General Practice |
| Location | 580 Burnside Ave Ste 2, East Hartford, Connecticut |
| Authorized Official Name and Position | Anum Sheikh Ahmed (OWNER) |
| Authorized Official Contact | 8602638266 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Center Of East Hartford Llc 580 Burnside Ave Ste 2 East Hartford CT 06108-3579 Ph: (860) 263-8266 | Medical Center Of East Hartford Llc 580 Burnside Ave Ste 2 East Hartford CT 06108-3579 Ph: (860) 816-3231 |
| NPI Number | 1811514292 |
|---|---|
| Provider Enumeration Date | 07/01/2020 |
| Last Update Date | 02/25/2021 |
| Medicare PECOS PAC ID | 3870919822 |
|---|---|
| Medicare Enrollment ID | O20200820002519 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811514292 | NPI | - | NPPES |
| Provider Name | Anum Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396191797 PECOS PAC ID: 8325385784 Enrollment ID: I20200820003125 |
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