Provider Demographics
NPI:1518034255
Name:QUINN, RUI H (LIC AC)
Entity Type:Individual
Prefix:
First Name:RUI
Middle Name:H
Last Name:QUINN
Suffix:
Gender:F
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27 LINCOLN LN
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-2601
Mailing Address - Country:US
Mailing Address - Phone:617-997-9922
Mailing Address - Fax:
Practice Address - Street 1:366 MASSCHUSETTS AVE.
Practice Address - Street 2:#303
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02474
Practice Address - Country:US
Practice Address - Phone:617-997-9922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA221619171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist