Provider Demographics
NPI:1629426572
Name:TATE, M QUINN (MD)
Entity Type:Individual
Prefix:
First Name:M QUINN
Middle Name:
Last Name:TATE
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:1800 LOMBARD ST
Mailing Address - Street 2:GROUND FLR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146
Mailing Address - Country:US
Mailing Address - Phone:215-893-2600
Mailing Address - Fax:215-893-2610
Practice Address - Street 1:1800 LOMBARD ST
Practice Address - Street 2:GROUND FLR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19146-1498
Practice Address - Country:US
Practice Address - Phone:215-893-2600
Practice Address - Fax:215-893-2610
Is Sole Proprietor?:No
Enumeration Date:2016-06-01
Last Update Date:2023-01-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD4787002081P2900X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine