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NPI Code Detail

MEDICARE: JULIO EMILIO QUINONES RPT

MEDICARE: JULIO EMILIO QUINONES RPT
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
1225100000XPhysical Therapist17232MA

General Provider Information

NPI Number : 1457477119
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIO EMILIO QUINONES RPT
Provider Business Mailing Address
First Line : 20 GAS LIGHT DR APT 4
Second Line :
City : WEYMOUTH
State : MA
Zip : 02190-2232
Country : US
Telephone Number : 781-974-5678
Fax Number :
Provider Business Practice Location Address
First Line : 125 BROAD ST
Second Line :
City : WEYMOUTH
State : MA
Zip : 02188-2336
Country : US
Telephone Number : 781-337-3121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 07/08/2007

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Directions to “ JULIO EMILIO QUINONES RPT” Practice Location

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