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Organization

QUARTET MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT WILSON MD (PRESIDENT)
(267) 999-9534
Entity
Organization

Contact information

Practice address
1601 MARKET ST STE 1500, PHILADELPHIA, PA 19103-2352
(267) 999-9534
Mailing address
228 PARK AVE S # 36149, NEW YORK, NY 10003-1502
(267) 999-9534
(833) 613-2680

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
2084P0800X
Psychiatry Physician
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
08/08/2023
Last updated
08/14/2025
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