Provider Demographics
NPI:1417298175
Name:JAMES V QUINN MD LLC
Entity Type:Organization
Organization Name:JAMES V QUINN MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:V
Authorized Official - Last Name:QUINN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-635-4088
Mailing Address - Street 1:PO BOX 164
Mailing Address - Street 2:
Mailing Address - City:ADAMSVILLE
Mailing Address - State:RI
Mailing Address - Zip Code:02801-0164
Mailing Address - Country:US
Mailing Address - Phone:401-592-0340
Mailing Address - Fax:401-635-2008
Practice Address - Street 1:8 JOHN DYER RD
Practice Address - Street 2:
Practice Address - City:LITTLE COMPTON
Practice Address - State:RI
Practice Address - Zip Code:02837-1723
Practice Address - Country:US
Practice Address - Phone:401-592-0340
Practice Address - Fax:401-635-2008
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JAMES V. QUINN MD LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-03-06
Last Update Date:2013-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA226242207R00000X
RIMD12128207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAA39416Medicare PIN
MAI45848Medicare UPIN