Organization
ANDREW S. QUIRK, P.T., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW S QUIRK PT (PRESIDENT)
(973) 378-3314
Entity
Organization
Contact information
Practice address
2130 MILLBURN AVE, SUITE C10, MAPLEWOOD, NJ 07040-3725
(973) 378-3314
Mailing address
2130 MILLBURN AVE, SUITE C10, MAPLEWOOD, NJ 07040-3725
(973) 378-3314
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00321800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0564442
AETNA INSURANCE
NJ
01
—
1467525691
NPI
NJ
01
—
40QA00321800
NJ STATE PT LICENSE
NJ
01
—
ES314
OXFORD INSURANCE
NJ
Enumeration date
01/06/2007
Last updated
08/22/2020
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