Organization
FREDERICK QUARLES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK QUARLES M.D. (MEDICAL DOCTOR)
(757) 490-6637
Entity
Organization
Contact information
Practice address
4164 VIRGINIA BEACH BLVD, SUITE 101, VIRGINIA BEACH, VA 23452-1762
(757) 490-6637
(757) 490-6636
Mailing address
4164 VIRGINIA BEACH BLVD, SUITE 101, VIRGINIA BEACH, VA 23452-1762
(757) 490-6637
(757) 490-6636
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101239928
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508834532
DR FEDERICK QUARLES/NPI
VA
Enumeration date
08/03/2006
Last updated
08/20/2014
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