Provider Demographics
NPI:1275893349
Name:QUARTEY, ARCHIE
Entity Type:Individual
Prefix:
First Name:ARCHIE
Middle Name:
Last Name:QUARTEY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7800 CONTEE RD APT 236
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-9219
Mailing Address - Country:US
Mailing Address - Phone:301-500-6432
Mailing Address - Fax:
Practice Address - Street 1:7800 CONTEE RD APT 236
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-9219
Practice Address - Country:US
Practice Address - Phone:301-500-6432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-23
Last Update Date:2012-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide