# JORGE D QUINTANA MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Quintana Psychiatric Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124421268
- **Authorized official:** MRS. SONIA BREDA (PRACTICE MANAGER)
- **Authorized official phone:** (973) 715-1310

## Contact information

- **Practice address:** 1203 W SAINT GEORGES AVE, 1FLOOR LEFT SIDE UNIT, LINDEN, NJ 07036-6167
- **Practice address phone:** (973) 715-1310
- **Practice address fax:** (908) 290-3105
- **Mailing address:** 180 STANTON ST, RAHWAY, NJ 07065-3122
- **Mailing address phone:** (973) 715-1310
- **Mailing address fax:** (908) 290-3105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103K00000X | Behavior Analyst | MA60018 | NJ | Yes |

## Other

- **Enumeration date:** 10/03/2014
- **Last updated:** 02/06/2015
