Organization
QUINONES MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA E QUINONES MD (OWNER)
(860) 570-4882
Entity
Organization
Contact information
Practice address
1007 FARMINGTON AVE, SUITE 3A, WEST HARTFORD, CT 06107
(860) 570-4882
(860) 570-4885
Mailing address
1007 FARMINGTON AVE, SUITE 3A, WEST HARTFORD, CT 06107-2133
(860) 570-4882
(860) 570-4885
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
044164
CT
363L00000X
Nurse Practitioner
002324
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004269983
—
CT
05
—
004269991
—
CT
Enumeration date
04/02/2007
Last updated
06/11/2018
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