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Carl G. Quillen, M.d. P.a.
Specialist in Maplewood, New Jersey
NPI 1467492322

Carl G. Quillen, M.d. P.a. is a Specialist 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 (New Jersey).

The current practice location address for Carl G. Quillen, M.d. P.a. is 2040 Millburn Ave, Maplewood, NJ and can be reached out via phone at 973-763-2320 and via fax at 973-763-4648.

Location: 2040 Millburn Ave, Maplewood, NJ, 07040-3726
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467492322
Provider Name
Carl G. Quillen, M.d. P.a.
Credential
Provider Entity Type
Organization
Address
2040 Millburn Ave, Maplewood, NJ, 07040-3726
Phone Number
973-763-2320
Fax Number
973-763-4648
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6643302 05 NJ
institution
Provider Business Practice Location Address Details
Address
2040 Millburn Ave
City
Maplewood
State
New Jersey
Zip
07040-3726
Phone Number
973-763-2320
Fax Number
973-763-4648
person
Provider Business Mailing Address Details
Address
2040 Millburn Ave
City
Maplewood
State
New Jersey
Zip
07040-3726
Phone Number
973-763-2320
Fax Number
973-763-4648
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA34002 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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