Individual
DR. JOSEPH V. QUEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3509 N BROAD ST, PHILADELPHIA, PA 19140-4105
(215) 707-7200
(215) 707-3831
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 707-7200
(215) 707-3831
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD063765L
PA
2086S0102X
Surgical Critical Care Physician
MD063765L
PA
Other
Enumeration date
03/16/2006
Last updated
04/19/2021
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