MEDICARE: QMG2,LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center	038137	CT

General Provider Information

NPI Number	:	1437546363
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QMG2,LLC

Provider Business Mailing Address
First Line	:	201 WHITES HILL LN
Second Line	:
City	:	FAIRFIELD
State	:	CT
Zip	:	06824-2177
Country	:	US
Telephone Number	:	203-675-1345
Fax Number	:	203-292-7026

Provider Business Practice Location Address
First Line	:	1910 BLACK ROCK TPKE
Second Line	:
City	:	FAIRFIELD
State	:	CT
Zip	:	06825-3543
Country	:	US
Telephone Number	:	203-333-4400
Fax Number	:	203-292-7026

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. STEVEN HEFFER
Credential	:	M.D.
Telephone Number	:	203-675-1345

Provider Enumeration Date	:	04/17/2015
Last Update Date	:	01/30/2025

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