Quinn, Kathryn J

Quinn, Kathryn J is an individual health care provider with primary practice located at 3180 Main St Suite G-1, Bridgeport CT 06606-4237. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Quinn, Kathryn J can be contacted via phone (203) 371-7111.

Contact Information

Primary practice address
3180 Main St Suite G-1 Bridgeport CT 06606-4237
Phone: (203) 371-7111
Fax: (203) 372-5636
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 042121 Connecticut

Profile Details

NPI number 1174524151
LBN Legal business name Quinn, Kathryn J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Apr 22nd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174524151 NPPES
Connecticut MEDICAID 001421213

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