Healthcare Provider Details

I. General information

NPI: 1013917376
Provider Name (Legal Business Name): PAUL EDWARD TURNQUIST M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 HIGHLAND AVE SUITE 2
NEWBURYPORT MA
01950-3872
US

IV. Provider business mailing address

36 PYE BROOK LN
BOXFORD MA
01921-1820
US

V. Phone/Fax

Practice location:
  • Phone: 978-463-7770
  • Fax: 978-462-0220
Mailing address:
  • Phone: 207-415-6722
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number223388
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: