Individual
ROBERT L MCQUADY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1802 E 10TH ST, JEFFERSONVILLE, IN 47130-6016
(812) 288-2488
(770) 573-9513
Mailing address
2100 MARKET ST STE 101, CHARLESTOWN, IN 47111-9535
(812) 503-5100
(770) 573-9513
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
15528
KY
207RA0401X
Addiction Medicine (Internal Medicine) Physician
01079670A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
01079670A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01079670A
STATE LICENSE
IN
05
—
300010808
—
IN
01
—
IN3604023
MEDICARE PTAN
IN
01
—
K177821
MEDICARE KY
KY
Enumeration date
10/27/2006
Last updated
11/08/2021
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