Provider Demographics
NPI:1285233262
Name:PALMQUEST INC.
Entity Type:Organization
Organization Name:PALMQUEST INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:GUIMARAES DE MELO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-201-8091
Mailing Address - Street 1:325 SENTRY PARKWAY WEST BLDG
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422
Mailing Address - Country:US
Mailing Address - Phone:646-201-8091
Mailing Address - Fax:
Practice Address - Street 1:325 SENTRY PARKWAY WEST BLDG
Practice Address - Street 2:SUITE 200
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422
Practice Address - Country:US
Practice Address - Phone:646-201-8091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-21
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
7Z4W0OtherCAGE CODE
019640939OtherDUNS