Individual
EDWARD J QUINLAN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
331 VERANDA ST, PORTLAND, ME 04103-5545
(207) 828-2402
(207) 828-2425
Mailing address
PO BOX 9746, PORTLAND, ME 04104-5040
(207) 828-2402
(207) 828-2425
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
012794
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017215
ANTHEM
ME
01
—
1040970
AETNA
ME
05
—
285820099
—
ME
01
—
E73204
HARVARD PILGRIM
ME
Enumeration date
04/21/2006
Last updated
12/24/2015
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