Provider Demographics
NPI:1326312364
Name:JQ ASSOCIATES, LLC
Entity Type:Organization
Organization Name:JQ ASSOCIATES, LLC
Other - Org Name:CHESAPEAKE RHEUMATOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAZIBEH
Authorized Official - Middle Name:ALEEM
Authorized Official - Last Name:QURESHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-319-3701
Mailing Address - Street 1:2542 QUARRY LAKE DR
Mailing Address - Street 2:STE 105
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-3759
Mailing Address - Country:US
Mailing Address - Phone:443-319-3701
Mailing Address - Fax:
Practice Address - Street 1:2542 QUARRY LAKE DR
Practice Address - Street 2:STE 105
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-3759
Practice Address - Country:US
Practice Address - Phone:443-319-3701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-07
Last Update Date:2012-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty