| NPI | 1164456406 |
|---|---|
| Doing Business As | SILVER LANE MEDICAL GROUP |
| Doing Business As | SILVER LANE MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | SULTAN QURAISHI Medical Director 860-568-7243 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208D00000X General Practice |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2023-08-25 |