Organization
RLQ,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT QUIGELY M.D. (OWNER)
(610) 519-9375
Entity
Organization
Contact information
Practice address
3998 RED LION RD, SUITE 214, PHILADELPHIA, PA 19114-1436
(215) 612-5050
Mailing address
814 CONSHOHOCKEN STATE RD, GLADWYNE, PA 19035-1428
(610) 519-9375
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2349433000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
01/18/2007
Last updated
08/22/2020
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