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NPI Code Detail

MEDICARE: DR. QUENTIN RICHARD DOLPHIN M.D.

MEDICARE: DR. QUENTIN RICHARD DOLPHIN M.D.
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
12084P0800XPsychiatry PhysicianMD418072PA

General Provider Information

NPI Number : 1780798413
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. QUENTIN RICHARD DOLPHIN M.D.
Provider Business Mailing Address
First Line : 304 FRANKSTOWN RD
Second Line :
City : ALTOONA
State : PA
Zip : 16602-4231
Country : US
Telephone Number : 814-381-5578
Fax Number : 814-381-5578
Provider Business Practice Location Address
First Line : 304 FRANKSTOWN RD
Second Line :
City : ALTOONA
State : PA
Zip : 16602-4231
Country : US
Telephone Number : 814-381-5578
Fax Number : 814-381-5578
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2006
Last Update Date : 04/25/2017

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