Provider Demographics
NPI:1497725634
Name:QUINN, MURIEL LOYOLA (DPM)
Entity Type:Individual
Prefix:DR
First Name:MURIEL
Middle Name:LOYOLA
Last Name:QUINN
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:385 ROUTE 24
Mailing Address - Street 2:SUITE 3M
Mailing Address - City:CHESTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07930
Mailing Address - Country:US
Mailing Address - Phone:908-879-2555
Mailing Address - Fax:
Practice Address - Street 1:385 ROUTE 24
Practice Address - Street 2:SUITE 3M
Practice Address - City:CHESTER
Practice Address - State:NJ
Practice Address - Zip Code:07930
Practice Address - Country:US
Practice Address - Phone:908-879-2555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-23
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMD01569213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T73172Medicare UPIN
NJT73172Medicare ID - Type Unspecified