Individual
DR. OLGA B. QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
57 BROADWAY, NEWARK, NJ 07104-2503
(973) 483-5174
(973) 483-7331
Mailing address
57 BROADWAY, NEWARK, NJ 07104-2503
(973) 483-5174
(973) 483-7331
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA03249700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0218103
—
NJ
05
—
1025474
—
NJ
01
—
12148
AMERIGROUP
NJ
01
—
P-2882660
OXFORD
NJ
Enumeration date
08/08/2006
Last updated
07/09/2007
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