Individual
MR. EDWARD PAUL QUARANTILLO III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
81 WAR MEMORIAL DRIVE, BERKELEY SPRINGS, WV 25411
(304) 258-8805
(304) 258-8846
Mailing address
81 WAR MEMORIAL DRIVE, BERKELEY SPRINGS, WV 25411
(304) 258-8805
(304) 258-8846
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17667
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0054791000
—
WV
Enumeration date
08/02/2006
Last updated
04/07/2022
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