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Individual

DR. TIMOTHY EDWARD QUAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1504 SULLIVAN AVE, SOUTH WINDSOR, CT 06074-2711
(860) 432-8400
(860) 432-8430
Mailing address
1504 SULLIVAN AVE, SOUTH WINDSOR, CT 06074-2711
(860) 432-8400
(860) 432-8430

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
037380
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010037380CT04
BLUE CROSS BLUE SHIELD
CT
05
1649227208
CT
01
2771375
CIGNA
CT
01
9924521
AETNA
CT
Enumeration date
05/28/2006
Last updated
06/17/2021
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