Individual
EDWARD ALLEN QUIMBY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT (R)
Contact information
Practice address
21 SUMMER ST, MADISON, ME 04950-1422
(207) 399-2486
Mailing address
21 SUMMER ST, MADISON, ME 04950-1422
(207) 399-2486
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
RT40005041
ME
Other
Enumeration date
10/06/2010
Last updated
10/06/2010
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