Healthcare Provider Details

I. General information

NPI: 1093710535
Provider Name (Legal Business Name): STEVEN L QUIGLEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 12/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 MEDICAL PARKWAY
ANNAPOLIS MD
21401-3280
US

IV. Provider business mailing address

PO BOX 12622
BELFAST ME
04915-4017
US

V. Phone/Fax

Practice location:
  • Phone: 443-481-1000
  • Fax: 443-481-1360
Mailing address:
  • Phone: 443-481-6469
  • Fax: 443-481-6515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number200301039
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberD43199
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: