Organization
MATTHEW B. QUAN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW BRETT QUAN M.D (DERMATOLOGIST DOCTOR)
(212) 517-6555
Entity
Organization
Contact information
Practice address
700 PARK AVE, NEW YORK, NY 10021-4930
(212) 517-6555
(212) 472-6796
Mailing address
700 PARK AVE, NEW YORK, NY 10021-4930
(212) 517-6555
(212) 472-6796
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
216306
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102163306NY02
ANTHEM PROVIDER NUMBER
NY
01
—
189036P
HIP PROVIDER NUMBER
NY
01
—
216306
MAGNACARE PROVIDER NUMBER
NY
01
—
2299453
GHI PROVIDER NUMBER
NY
01
—
3408075
AETNA PROVIDER NUMBER
NY
01
—
3C3691
HEALTHNET
NY
01
—
3K1153
BLUECROSS PROVIDER NUMBER
NY
01
—
4673219
AETNA
NY
01
—
P2527966
OXFORD PROVIDER NUMBER
NY
Enumeration date
12/01/2006
Last updated
06/23/2008
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