Individual
DR. EDMUND P QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
447 MERIDEN RD, WATERBURY, CT 06705
(203) 574-5650
(203) 574-7815
Mailing address
447 MERIDEN RD, WATERBURY, CT 06705
(203) 574-5650
(203) 574-7815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
028629
CT
207R00000X
Internal Medicine Physician
Primary
028629
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001286293
—
CT
05
—
001286295
—
CT
01
—
010028629CT01
ANTHEM BLUE CROSS
CT
01
—
010028629CT04
ANTHEM BCBS CT
CT
01
—
028629
CONNECTICARE
CT
01
—
1105254
USA
CT
01
—
13-36333
AMERICHOICE
CT
01
—
3V1099
HEALTHNET/COMMERCIAL
CT
01
—
464863
WELLCARE
CT
01
—
5292106
AETNA
CT
01
—
CHN2624
CHN
CT
01
—
P01051753
RR MEDICARE
CT
01
—
P3927308
OXFORD
CT
Enumeration date
07/31/2006
Last updated
11/10/2021
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