MEDICARE: DR. PAMELA M QUINLAN DO

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
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	H0061347	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	911832	OTHER	CIGNA
2	J69000001	OTHER	BLUE CHOICE
3	3502139	OTHER	AETNA HMO
4	7427569	OTHER	AETNA PPO
5	2136897	OTHER	MAMSI
6	522442528	OTHER	UNITED H CARE
7	64114601	OTHER	CARE FIRST

General Provider Information

NPI Number	:	1619959913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAMELA M QUINLAN DO

Provider Business Mailing Address
First Line	:	5450 KNOLL NORTH DR STE 100
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-2366
Country	:	US
Telephone Number	:	410-601-1800
Fax Number	:	410-601-7957

Provider Business Practice Location Address
First Line	:	5450 KNOLL NORTH DR STE 100
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-2366
Country	:	US
Telephone Number	:	410-601-1800
Fax Number	:	410-601-7957

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2005
Last Update Date	:	07/22/2021

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Directions to “ DR. PAMELA M QUINLAN DO” Practice Location

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