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NPI 1255480919

NPI 1255480919 : DENNIS P QUINLAN JR MD : TRENTON, NJ

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General NPI Number Information
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    NPI Number           |    1255480919
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    Entity Type          |    Individual 
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    Provider Name        |    DENNIS P QUINLAN JR MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/10/2007
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    Last Update Date     |    04/23/2021
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Provider Practice Location Address
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    Address Line         |    832 BRUNSWICK AVE 
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    City                 |    TRENTON
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    State                |    NJ
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    Zip                  |    08638-3847
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    Country              |    US
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    Telephone            |    609-396-2600
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    Fax                  |    609-396-3600
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Provider Business Mailing Address
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    Address Line         |    832 BRUNSWICK AVE 
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    City                 |    TRENTON
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    State                |    NJ
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    Zip                  |    08638-3847
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    Country              |    US
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    Telephone            |    609-396-2600
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    Fax                  |    609-396-3600
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    25MA06726500
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    License Number State |    NJ
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Taxonomy #2
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    Taxonomy Code        |    208G00000X
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    Taxonomy Name        |    Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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    License Number       |    25MA06726500
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    License Number State |    NJ
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