Provider Demographics
NPI:1073520607
Name:QUINN, JAMES VINCENT (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:VINCENT
Last Name:QUINN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:651 ORCHARD ST
Mailing Address - Street 2:SUITE 202A
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02744-1008
Mailing Address - Country:US
Mailing Address - Phone:774-992-7058
Mailing Address - Fax:
Practice Address - Street 1:651 ORCHARD ST
Practice Address - Street 2:SUITE 202A
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02744-1008
Practice Address - Country:US
Practice Address - Phone:774-992-7058
Practice Address - Fax:774-992-7061
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2014-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA226242207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI413286OtherBLUE CROSS/BLUE SHIELD
MA1236202OtherAETNA
MA1300172Medicaid
MA90795OtherCHILDREN'S MEDICAL SP
MAJ29649OtherBLU E CROSS/BLUE SHIELD
MA494380OtherTUFTS HEALTH PLAN
MA0036695OtherNEIGHBORHOOD HEALTH PLAN
MA31642OtherBMC HEALTHNET PLAN
MAAA45894OtherHARVARD PILGRIM HEALTH
MA0036695OtherNEIGHBORHOOD HEALTH PLAN
I45848Medicare UPIN
MA31642OtherBMC HEALTHNET PLAN