Basic Information
Provider Information
NPI: 1225011257
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: QUARTEY
FirstName: SETH
MiddleName: MAC
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1803 MOUNT ROSE AVE
Address2: SUITE B3
City: YORK
State: PA
PostalCode: 174033026
CountryCode: US
TelephoneNumber: 7178511405
FaxNumber: 7178516969
Practice Location
Address1: 1001 S GEORGE ST
Address2: MKB 4TH FLR
City: YORK
State: PA
PostalCode: 174033676
CountryCode: US
TelephoneNumber: 7178512417
FaxNumber: 7178513712
Other Information
ProviderEnumerationDate: 11/23/2005
LastUpdateDate: 10/25/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200XMD067963-LPAY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
207RI0200X0101051147VAN Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

ID Information
IDTypeStateIssuerDescription
02147901PAJOHNS HOPKINSOTHER
5006777501PACAPITAL BLUE CROSS-WMGOTHER
20951701PAUNISON-WMGOTHER
38271001MDMAMSI-WMGOTHER
72203701PAHIGHMARK BLUE SHIELDOTHER
63422601MDCAREFIRST MD BCBSOTHER
2006191001PAAMERIHEALTH MERCY-WMGOTHER
786207901PAAETNAOTHER
152078801PAGATEWAY-WMGOTHER
055934900001PAAMERIHEALTH 65 PAOTHER
8197701PAGEISINGEROTHER


Home