Individual
DR. GAIL QUACKENBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
56 DOWNEY DR, TENAFLY, NJ 07670-3004
(201) 694-0674
Mailing address
56 DOWNEY DR, TENAFLY, NJ 07670-3004
(201) 694-0674
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
25MA06068500
NJ
2085B0100X
Body Imaging Physician
25MA06068500
NJ
2085P0229X
Pediatric Radiology Physician
25MA06068500
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
25MA06068500
NJ
2085U0001X
Diagnostic Ultrasound Physician
25MA06068500
NJ
Other
Enumeration date
06/10/2006
Last updated
04/19/2013
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