Active NPIOrganization

Carl G. Quillen, M.d. P.a.

Specialist in Maplewood, New Jersey

NPI Number1467492322
Practice location
2040 Millburn Ave, Suite 405, Maplewood, NJ 07040-3726
Fax
973-763-4648
Last updated
October 5, 2011

Carl G. Quillen, M.d. P.a. is a healthcare organization based in Maplewood, NJ. Carl G. Quillen, M.d. P.a. practices in Maplewood, NJ. The NPI Number for Carl G. Quillen, M.d. P.a. is 1467492322 and holds a License No. MA34002 (NJ). The current practice location address for Carl G. Quillen, M.d. P.a. is 2040 Millburn Ave, Suite 405, Maplewood, NJ 07040-3726 and can be reached out via phone at 973-763-2320 and via fax at 973-763-4648.

Provider Profile Details

NPI Number
1467492322
Provider Name
Carl G. Quillen, M.d. P.a.
Provider Entity Type
Organization
Address
2040 Millburn Ave, Suite 405, Maplewood, NJ 07040-3726
Phone Number
973-763-2320
Fax Number
973-763-4648
Primary Taxonomy
Specialist · 174400000X
Organization Subpart
No
Authorized Official
Dr. Carl G. Quillen, MD · President · 973-763-2320
Provider Enumeration Date
June 8, 2006
Last Update Date
October 5, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
2040 Millburn Ave
Suite 405
Maplewood, NJ 07040-3726
Zip
07040-3726
Phone Number
973-763-2320
Fax Number
973-763-4648
Maplewood, NJ 07040Get directions →

Provider Business Mailing Address Details

Address
2040 Millburn Ave
Suite 405
Maplewood, NJ 07040-3726
City
Maplewood
State
NJ
Zip
07040-3726
Phone Number
973-763-2320
Fax Number
973-763-4648

License Information

License Number
MA34002
License State
NJ
Taxonomy
Specialist · 174400000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Carl G. Quillen, M.d. P.a.?

The NPI number of Carl G. Quillen, M.d. P.a. is 1467492322. It was assigned on June 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Carl G. Quillen, M.d. P.a.?

Carl G. Quillen, M.d. P.a. is registered under the primary taxonomy Specialist (code 174400000X), licensed in NJ under license number MA34002.

Where does Carl G. Quillen, M.d. P.a. practice?

The practice location is 2040 Millburn Ave, Suite 405, Maplewood, NJ 07040-3726. The office can be reached at 973-763-2320 (phone) or 973-763-4648 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467492322 directly on the NPPES registry website.

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