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ED PHYSICIANS OF QUINCY NPI 1578745683


NPI Information

NPI: 1578745683
Provider Name: ED PHYSICIANS OF QUINCY
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
114 WHITWELL ST
QUINCY, MA
ZIP 02169
Phone: (617) 376-4018
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ED PHYSICIANS OF QUINCY is an emergency medicine in Quincy, MA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. ED PHYSICIANS OF QUINCY NPI is 1578745683. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

114 WHITWELL ST
QUINCY, MA
ZIP 02169-870
Phone: (617) 376-4018
Fax: (617) 376-1609

The provider's authorized official is Victoria Divaio Bush .
The authorized official title is Director Physician Services and has the following contact phone number (617) 376-4018.

The enumeration date for this NPI number is 11/30/2007 and was last updated on 11/30/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1M20736MEDICARE PINMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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