Individual
DR. PAUL R QUINTAVALLE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
69 HADDONFIELD BERLIN RD STE 1, CHERRY HILL, NJ 08034-3572
(856) 858-0180
(858) 869-3080
Mailing address
69 HADDONFIELD BERLIN RD STE 1, CHERRY HILL, NJ 08034-3572
(856) 858-0180
(858) 869-3080
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
MD001056
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1735501
—
NJ
Enumeration date
06/30/2006
Last updated
10/25/2018
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