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NPI Code Detail

MEDICARE: QUANTUM INTEGRATIVE MEDICINE

MEDICARE: QUANTUM INTEGRATIVE MEDICINE
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
1363LF0000XFamily Nurse Practitioner26NJ00629000NJ

General Provider Information

NPI Number : 1689100323
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUANTUM INTEGRATIVE MEDICINE
Provider Business Mailing Address
First Line : 1362 MORRIS AVE STE 1
Second Line :
City : UNION
State : NJ
Zip : 07083-3342
Country : US
Telephone Number : 908-755-0200
Fax Number : 908-603-8343
Provider Business Practice Location Address
First Line : 1362 MORRIS AVE
Second Line :
City : UNION
State : NJ
Zip : 07083-3342
Country : US
Telephone Number : 908-755-0200
Fax Number : 908-603-8343
Authorized Official
Title or Position : MANAGER
Name : ANN MILLS
Credential :
Telephone Number : 732-913-7080
Provider Enumeration Date : 05/01/2017
Last Update Date : 02/12/2026

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Directions to “QUANTUM INTEGRATIVE MEDICINE ” Practice Location

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