Qmg3 LLC
Family Medicine in Shelton, CT. Organization (NPI-2).
NPI number1376092007
StatusActive
Last updated in NPPESSep 22, 2016
Details
- NPI
- 1376092007
- Entity type
- Organization (NPI-2)
- Legal business name
- Qmg3 LLC
- Organization subpart
- No
- Enumeration date
- Sep 22, 2016
- Last updated
- Sep 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | CT | Yes |
Other names
- Afc Urgent Care (Doing Business As)
Practice location
405 Bridgeport AvenueShelton, CT 06484
Phone 203-567-4171 · Fax 203-567-4172
Mailing address
405 Bridgeport AvenueShelton, CT 06484
Phone 203-567-4171 · Fax 203-567-4172
Authorized official
Steven Martin Heffer
Owner/Medical Director
2035838400
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