Provider Demographics
NPI:1255321253
Name:MARQUIS, RICHARD W (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:W
Last Name:MARQUIS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:68 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-3313
Mailing Address - Country:US
Mailing Address - Phone:617-472-3400
Mailing Address - Fax:
Practice Address - Street 1:700 CONGRESS ST
Practice Address - Street 2:SUITE 103
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-0909
Practice Address - Country:US
Practice Address - Phone:617-472-3400
Practice Address - Fax:617-472-3411
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA56526207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
056526OtherTUFTS ASSOCIATED HEALTH P
B10159301OtherCIGNA HEALTHCARE
MA3030792Medicaid
MA6882OtherHARVARD PILGRIM HEALTH CA
MA0001985OtherNEIGHBORHOOD HEALTH PLAN
473581OtherAETNA US HEALTHCARE
J07116OtherBLUE CROSS/BLUE SHIELD
MA000000020211OtherBOSTON HEALTH NET
110231018OtherRAILROAD MEDICARE
0401252OtherUNITED HEALTH OF NE
MA6882OtherHARVARD PILGRIM HEALTH CA
MA3030792Medicaid