Provider Demographics
NPI:1407284722
Name:QUINTIERI, PETER ERNEST JR (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:ERNEST
Last Name:QUINTIERI
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 BOARDWALK
Mailing Address - Street 2:UNIT #1809
Mailing Address - City:VENTNOR CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08406-2915
Mailing Address - Country:US
Mailing Address - Phone:856-278-3790
Mailing Address - Fax:
Practice Address - Street 1:5000 BOARDWALK
Practice Address - Street 2:UNIT #1809
Practice Address - City:VENTNOR CITY
Practice Address - State:NJ
Practice Address - Zip Code:08406-2915
Practice Address - Country:US
Practice Address - Phone:856-278-3790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-23
Last Update Date:2013-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60 P909002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry