Basic Information
Provider Information
NPI: 1003296500
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PALMQUIST
FirstName: EMILY
MiddleName: NORPELL
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5 SEAVER ST
Address2: APT 3
City: BOSTON
State: MA
PostalCode: 021282879
CountryCode: US
TelephoneNumber: 7202019342
FaxNumber:  
Practice Location
Address1: 5 SEAVER ST
Address2: APT 3
City: BOSTON
State: MA
PostalCode: 021282879
CountryCode: US
TelephoneNumber: 7202019342
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/01/2015
LastUpdateDate: 06/01/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X263480MAY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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