Healthcare Provider Details

I. General information

NPI: 1740920362
Provider Name (Legal Business Name): QUADRANT PA VIRTUAL CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2022
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 WILMINGTON W CHESTER PIKE
CHADDS FORD PA
19317-9011
US

IV. Provider business mailing address

PO BOX 32547
BELFAST ME
04915-0218
US

V. Phone/Fax

Practice location:
  • Phone: 866-219-8595
  • Fax:
Mailing address:
  • Phone: 866-219-8595
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: TRACY BURTON
Title or Position: PRESIDENT
Credential: MD
Phone: 813-990-7604