Basic Information
| Provider Information | |||||||||
| NPI: | 1134448087 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | QUINT | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | DOUGLAS | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 68 SOUTH SERVICE ROAD | ||||||||
| Address2: | SUITE 350 | ||||||||
| City: | MELVILLE | ||||||||
| State: | NY | ||||||||
| PostalCode: | 11747 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5169453000 | ||||||||
| FaxNumber: | 5169453131 | ||||||||
| Practice Location | |||||||||
| Address1: | 8835 GERMANTOWN AVE | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19118 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2152488200 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/18/2010 | ||||||||
| LastUpdateDate: | 11/30/2017 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | MD450195 | PA | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | MT197654 | PA | N | Allopathic & Osteopathic Physicians | Anesthesiology | 390200000X | MT197654 | PA | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 207L00000X | MD044783 | DC | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.