Individual
SCOTT QUACKENBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
95 MADISON AVE, MORRISTOWN, NJ 07960-6092
(973) 889-9001
(973) 889-9051
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(973) 971-4179
(973) 971-7905
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00629200
NJ
Other
Enumeration date
04/11/2016
Last updated
05/23/2016
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