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Individual

DR. BRIAN JOSEPH QUATTROCHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(120) 748-2786
Mailing address
324 GANNETT DR STE 200, SOUTH PORTLAND, ME 04106-3266
(207) 482-7800

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
272240
MA
207ZP0101X
Anatomic Pathology Physician
Primary
MD24411
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1306368584
ME
Enumeration date
07/10/2017
Last updated
07/21/2022
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