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
Fax: (973) 483-7331
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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