Carl G. Quillen, M.d. P.a.

NPI #1467492322 in Maplewood, New Jersey

Provider Information

NPI Number: 1467492322
Entity Type: Organization
Organization Name: Carl G. Quillen, M.d. P.a.
Primary Specialty: Specialist
Enumeration Date: Jun 8, 2006
Last Updated: Oct 5, 2011

Practice Location

Address: 2040 MILLBURN AVE
Address 2: SUITE 405
City: Maplewood
State: New Jersey
ZIP Code: 07040-3726
Phone: (973) 763-2320

Authorized Official

Name: DR. CARL G. QUILLEN, M.D.
Title: PRESIDENT
Phone: (973) 763-2320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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