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NPI Code Detail

MEDICARE: PATRICK JAMES QUINN MSW

MEDICARE: PATRICK JAMES QUINN MSW
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
11041C0700XClinical Social Worker

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12508OTHERCBHS INTERNAL USE ONLY-COMMERCIAL NUMBER
22508OTHERSFGH INTERNAL USE ONLY

General Provider Information

NPI Number : 1063539716
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICK JAMES QUINN MSW
Provider Business Mailing Address
First Line : 1520 HOWARD ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94103-2525
Country : US
Telephone Number : 415-355-8317
Fax Number : 415-861-5395
Provider Business Practice Location Address
First Line : 1520 HOWARD ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94103-2525
Country : US
Telephone Number : 415-355-8317
Fax Number : 415-861-5395
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 07/16/2007

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