Healthcare Provider Details

I. General information

NPI: 1487367199
Provider Name (Legal Business Name): QMG7,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2022
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

527 ELM ST
NEW HAVEN CT
06511-4549
US

IV. Provider business mailing address

389 BRIDGEPORT AVE
SHELTON CT
06484-5380
US

V. Phone/Fax

Practice location:
  • Phone: 475-321-5150
  • Fax:
Mailing address:
  • Phone: 475-321-5150
  • Fax: 203-292-7026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN HEFFER
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 475-321-5150