Individual
JACK FRANCIS QUINLAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1076 E CHESTNUT AVE, 1076 E CHESTNUT AVE, VINELAND, NJ 08360-5843
(856) 692-7979
(856) 794-9479
Mailing address
1076 E CHESTNUT AVE, PENN CARDIOLOGY VINELAND, VINELAND, NJ 08360-5843
(856) 692-7979
(856) 794-9479
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA08562300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942460514
AMERIHEALTH
NJ
01
—
9077287
AETNA
NJ
01
—
P00833740
RAILROAD MEDICARE
NJ
Enumeration date
06/16/2008
Last updated
05/22/2013
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