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NPI Code Detail

MEDICARE: RODERICK M QUIROS M.D.

MEDICARE: RODERICK M QUIROS M.D.
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
12086X0206XSurgical Oncology PhysicianMD426899PA

General Provider Information

NPI Number : 1598784746
Entity Type Code : Individual
Provider Name (Legal Business Name) : RODERICK M QUIROS M.D.
Provider Business Mailing Address
First Line : 1600 RIVERSIDE CIR
Second Line :
City : EASTON
State : PA
Zip : 18045-5671
Country : US
Telephone Number : 484-503-4600
Fax Number : 484-503-4679
Provider Business Practice Location Address
First Line : 1600 RIVERSIDE CIR
Second Line :
City : EASTON
State : PA
Zip : 18045-5671
Country : US
Telephone Number : 484-503-4600
Fax Number : 484-503-4679
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 08/13/2025

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