Id of Quincy LLC

NPI #1053088377 in Quincy, Massachusetts

Provider Information

NPI Number: 1053088377
Entity Type: Organization
Organization Name: Id of Quincy LLC
Primary Specialty: Dermatology
Enumeration Date: Aug 25, 2021
Last Updated: Jan 27, 2026

Practice Location

Address: 104 QUARRY ST STE 2
City: Quincy
State: Massachusetts
ZIP Code: 02169-4174
Phone: (617) 472-6764

Authorized Official

Name: JENNIFER T HALEY, MD
Title: AUTHORIZED GROUP OFFICIAL
Phone: (561) 314-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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