EDWARD ALLEN QUIMBY JR.


Address: 21 Summer St, Madison, ME 04950-1422
Phone: 2073992486

EDWARD ALLEN QUIMBY JR. (NPI# 1518276609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518276609
Entity Type Individual
Full Name EDWARD ALLEN QUIMBY JR.
Credential RT (R)
Practice Address 21 Summer St
Madison
ME 04950-1422
Practice Telephone 2073992486
Mailing Telephone 2073992486
Enumeration Date 2010-10-06
Last Update Date 2010-10-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2471C3402X Radiologic Technologist
Specialization: Radiography
RT40005041 ME Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 21 SUMMER ST
City MADISON
State ME
Zip Code 04950-1422

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Taxonomy Information

Taxonomy Code 2471C3402X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Radiologic Technologist
Specialization Radiography

Taxonomy Definition

Definition to come...

Competitor

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City MADISON
Zip Code 04950

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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