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Organization

ED PHYSICIANS OF QUINCY

Active
Parent organization
QUINCY MEDICAL CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
QUINCY MEDICAL CENTER
Authorized official
VICTORIA DIVAIO BUSH (DIRECTOR PHYSICIAN SERVICES)
(617) 376-4018
Entity
Organization

Contact information

Practice address
114 WHITWELL ST, QUINCY, MA 02169-1870
(617) 376-4018
(617) 376-1609
Mailing address
114 WHITWELL ST, QUINCY, MA 02169-1870
(617) 376-4018
(617) 376-1609

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
11/30/2007
Last updated
11/30/2007
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