Individual
BRYAN QUAILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1935 ROUTE 70 E, CHERRY HILL, NJ 08003-2117
(856) 428-7700
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00424900
NJ
363AS0400X
Surgical Physician Assistant
PA030983
DC
Other
Enumeration date
09/19/2013
Last updated
10/16/2020
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