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General NPI Number Information
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NPI Number | 1962446021
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Entity Type | Organization
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Legal Business Name | QUINCY MEDICAL CENTER
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 114 WHITWELL ST
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City | QUINCY
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State | MA
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Zip | 02169-1870
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Country | US
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Telephone | 617-773-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 12 GILL ST
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City | WOBURN
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State | MA
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Zip | 01801-1728
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Country | US
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Telephone | 781-937-4522
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Fax |
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Authorized Official
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Title or Position | VP CFO
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Name | MARK A GRONBERG
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Credential |
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Telephone | 617-773-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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