Individual
DANIEL K. QUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 421-1400
(508) 421-1490
Mailing address
315 PROSPECT ST, LUNENBURG, MA 01462-2242
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2548
MA
363A00000X
Physician Assistant
Primary
PA2548
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110128728A
—
MA
Enumeration date
06/12/2008
Last updated
03/29/2021
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