Individual
ROBERT L. QUIGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3998 RED LION RD, SUITE 214, PHILADELPHIA, PA 19114-1436
(215) 612-5050
Mailing address
814 CONSHOHOCKEN STATE RD, GLADWYNE, PA 19035-1428
(610) 519-9375
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MD-056209L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015347900010
—
PA
01
—
2349433000
INDEPENDENCE BLUE CROSS
PA
01
—
30018180
KEYSTONE MERCY
PA
01
—
3857715
AETNA
PA
01
—
3949422
AETNA HMO
PA
Enumeration date
06/03/2006
Last updated
07/08/2007
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