Provider Demographics
NPI:1346625563
Name:QUICK CARE MD LLC
Entity Type:Organization
Organization Name:QUICK CARE MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:VANANTWERP
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:410-544-4600
Mailing Address - Street 1:484 RITCHIE HWY
Mailing Address - Street 2:SUITE A
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-2961
Mailing Address - Country:US
Mailing Address - Phone:410-544-4600
Mailing Address - Fax:410-544-0997
Practice Address - Street 1:484 RITCHIE HWY
Practice Address - Street 2:SUITE B
Practice Address - City:SEVERNA PARK
Practice Address - State:MD
Practice Address - Zip Code:21146-2961
Practice Address - Country:US
Practice Address - Phone:410-544-4600
Practice Address - Fax:410-544-0997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-29
Last Update Date:2015-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD207R00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty