Individual
MR. GREGORY J QUINLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
235 N PEARL ST, BROCKTON, MA 02301-1794
(508) 427-3000
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
252322
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
252322
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0701696
—
MA
05
—
110024699A
—
MA
Enumeration date
04/17/2006
Last updated
02/27/2026
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