Quin, Jacquelyn A

Quin, Jacquelyn A is an individual health care provider with primary practice located at 1400 Vfw Pkwy , West Roxbury MA 02132. She recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as her primary health care specialty. Quin, Jacquelyn A can be contacted via phone (857) 203-6202.

Contact Information

Primary practice address
1400 Vfw Pkwy West Roxbury MA 02132
Phone: (857) 203-6202
Fax: (857) 203-5738
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 036105475 Illinois
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X G78462 California
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X K9154 Texas
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 207205 Massachusetts

Profile Details

NPI number 1003897703
LBN Legal business name Quin, Jacquelyn A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jul 31st, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003897703 NPPES
Illinois MEDICAID 036105475

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