Quintana, Olga B.
Quintana, Olga B. is an sole proprietor health care provider with primary practice located at 57 Broadway , Newark NJ 07104-2503. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Quintana, Olga B. can be contacted via phone (973) 483-5174.Contact Information
Primary practice address
57 Broadway
Newark NJ 07104-2503
Phone: (973) 483-5174
Fax: (973) 483-7331
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 25MA03249700 | New Jersey |
Profile Details
NPI number | 1699785428 |
---|---|
LBN Legal business name | Quintana, Olga B. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 8th, 2006 |
Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699785428 | NPPES |
New Jersey | Other | 12148 | AMERIGROUP |
New Jersey | MEDICAID | 0218103 | AMERIGROUP |
New Jersey | Other | P-2882660 | AMERIGROUP |
New Jersey | MEDICAID | 1025474 | AMERIGROUP |
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