Individual
DR. MATTHEW BRETT QUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 PARK AVE, NEW YORK, NY 10021
(212) 517-6555
(212) 472-6796
Mailing address
22 WEST 15 ST 21A, NEW YORK, NY 10011
(917) 721-4901
(212) 366-9419
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
216306
NY
207N00000X
Dermatology Physician
G073273
CA
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
216306
NY
207NS0135X
Procedural Dermatology Physician
MA70706
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
216306
AETNA PPO HMO
—
01
—
2299453
GHI
—
01
—
3C3691
HEALTHNET
—
01
—
3K1153
BCBS
—
01
—
P2527966
OXFORD
—
Enumeration date
02/01/2006
Last updated
10/09/2020
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