Carl G. Quillen, M.D. P.A.

LBN: Carl G. Quillen, M.D. P.A.
Carl G. Quillen, M.D. P.A. is an health care organization with primary practice located at 2040 Millburn Ave Suite 405, Maplewood NJ 07040-3726. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Carl G. Quillen, M.D. P.A. can be contacted via phone (973) 763-2320, or through Quillen, Carl G. via phone (973) 763-2320.

Contact Information

Primary practice address
2040 Millburn Ave Suite 405 Maplewood NJ 07040-3726
Phone: (973) 763-2320
Fax: (973) 763-4648
Website:
Map and Directions
Authorized official contact:
Name: Quillen, Carl G. Doctor of Medicine (MD)
Phone: (973) 763-2320

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MA34002 New Jersey

Profile Details

NPI number 1467492322
LBN Legal business name Carl G. Quillen, M.D. P.A.
DBA Doing business as
Authorized official Quillen, Carl G. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2006
Last updated Oct 5th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467492322 NPPES
New Jersey MEDICAID 6643302

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