Quintavalle, Paul R

Quintavalle, Paul R is an individual health care provider with primary practice located at 69 Haddonfield Berlin Rd Ste 1 , Cherry Hill NJ 08034-3572. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Quintavalle, Paul R can be contacted via phone (856) 858-0180.

Contact Information

Primary practice address
69 Haddonfield Berlin Rd Ste 1 Cherry Hill NJ 08034-3572
Phone: (856) 858-0180
Fax: (858) 869-3080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X MD001056 New Jersey

Profile Details

NPI number 1740219161
LBN Legal business name Quintavalle, Paul R
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Oct 25th, 2018 - about 8 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 1740219161 NPPES
New Jersey MEDICAID 1735501

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