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Organization

QUACINELLA ORTHOPAEDICS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL QUACINELLA DO, MPH (CEO)
(831) 239-4736
Entity
Organization

Contact information

Practice address
4060 FOURTH AVE STE 630, SAN DIEGO, CA 92103-2118
(619) 299-3950
Mailing address
4060 FOURTH AVE STE 630, SAN DIEGO, CA 92103-2118
(831) 239-4736

Taxonomy

Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary

Other

Enumeration date
01/24/2020
Last updated
10/22/2023
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