=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730211806
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ANTHONY C. QUARTELL, MD & ASSOCIATES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/12/2007
-----------------------------------------------------
Last Update Date | 02/15/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 316 EISENHOWER PKWY STE 202
-----------------------------------------------------
City | LIVINGSTON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07039-1792
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-716-9650
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 316 EISENHOWER PKWY STE 202
-----------------------------------------------------
City | LIVINGSTON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07039-1792
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 973-716-9650
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | ANTHONY C QUARTELL
-----------------------------------------------------
Credential | M.D.
-----------------------------------------------------
Telephone | 973-716-9600
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | MA024263
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------