Provider Demographics
NPI:1639371834
Name:QUIGLEY, JOHN THOMAS (MD, MPH)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:THOMAS
Last Name:QUIGLEY
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 COX RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-9263
Mailing Address - Country:US
Mailing Address - Phone:804-968-5700
Mailing Address - Fax:
Practice Address - Street 1:400 E GERMANTOWN PIKE
Practice Address - Street 2:
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19401-6506
Practice Address - Country:US
Practice Address - Phone:610-994-0063
Practice Address - Fax:610-994-0064
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-00081022083X0100X
PAMD4243552083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA088687YEBKMedicare PIN
PA088687YUNMMedicare PIN