Provider Demographics
NPI:1437378452
Name:QUINCY SURGICAL ASSOCIATES, INC
Entity Type:Organization
Organization Name:QUINCY SURGICAL ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LAVIN-ARCAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-479-7333
Mailing Address - Street 1:700 CONGRESS ST
Mailing Address - Street 2:SUITE 304
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-0909
Mailing Address - Country:US
Mailing Address - Phone:617-479-7333
Mailing Address - Fax:617-773-0198
Practice Address - Street 1:700 CONGRESS ST
Practice Address - Street 2:SUITE 304
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-0909
Practice Address - Country:US
Practice Address - Phone:617-479-7333
Practice Address - Fax:617-773-0198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA37917208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty