Individual
KATHRYN J QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3180 MAIN ST, SUITE G-1, BRIDGEPORT, CT 06606-4237
(203) 371-7111
(203) 372-5636
Mailing address
1817 BLACK ROCK TPKE, FAIRFIELD, CT 06825-3546
(203) 371-7111
(203) 372-5636
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042121
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001421213
—
CT
Enumeration date
08/02/2005
Last updated
04/22/2013
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