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NPI Code Detail

MEDICARE: DR. ELIZABETH G QUINN MD

MEDICARE: DR. ELIZABETH G QUINN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMD-10249HI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10000215822OTHERHIHMSA
200A0215820OTHERHIHMSA BILLING NUMBER
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003818030
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH G QUINN MD
Provider Business Mailing Address
First Line : 1010 PENSACOLA ST
Second Line :
City : HONOLULU
State : HI
Zip : 96814-2118
Country : US
Telephone Number : 808-432-2303
Fax Number :
Provider Business Practice Location Address
First Line : 1010 PENSACOLA ST
Second Line :
City : HONOLULU
State : HI
Zip : 96814-2118
Country : US
Telephone Number : 808-432-2303
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2005
Last Update Date : 05/19/2021

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