Individual
NICKY MARTIN QUINLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 FRANCIS ST, #1A, BETH ISRAEL DEACONESS MEDICAL CENTER, BOSTON, MA 02215-5501
(617) 632-8696
Mailing address
110 FRANCIS ST, #1A, BETH ISRAEL DEACONESS MEDICAL CENTER, BOSTON, MA 02215-5501
(617) 632-8696
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
243712
MA
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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