MEDICARE: JQ ASSOCIATES, LLC

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
1	207RR0500X	Rheumatology Physician

General Provider Information

NPI Number	:	1326312364
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JQ ASSOCIATES, LLC

Provider Business Mailing Address
First Line	:	2542 QUARRY LAKE DR
Second Line	:	STE 105
City	:	BALTIMORE
State	:	MD
Zip	:	21209-3759
Country	:	US
Telephone Number	:	443-319-3701
Fax Number	:

Provider Business Practice Location Address
First Line	:	2542 QUARRY LAKE DR
Second Line	:	STE 105
City	:	BALTIMORE
State	:	MD
Zip	:	21209-3759
Country	:	US
Telephone Number	:	443-319-3701
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JAZIBEH ALEEM QURESHI
Credential	:	M.D.
Telephone Number	:	443-319-3701

Provider Enumeration Date	:	03/07/2012
Last Update Date	:	03/11/2012

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