Individual
DR. JOHN QUERQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 WASHINGTON ST, BOX 1013, BOSTON, MA 02111-1552
(617) 636-5773
(617) 636-8442
Mailing address
800 WASHINGTON ST, BOX 1013, BOSTON, MA 02111-1552
(617) 636-5773
(617) 636-8442
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
152871
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3195261
—
MA
01
—
771919
TUFTS HEALTH PLAN
MA
01
—
J21116
BCBS MA
MA
01
—
S400231363
MEDICARE MA
MA
Enumeration date
10/26/2005
Last updated
09/15/2016
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