Provider Demographics
NPI:1942268222
Name:PACK, QUINN R (MD)
Entity Type:Individual
Prefix:
First Name:QUINN
Middle Name:R
Last Name:PACK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:280 CHESTNUT ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01199-1001
Mailing Address - Country:US
Mailing Address - Phone:413-794-5700
Mailing Address - Fax:
Practice Address - Street 1:3300 MAIN ST
Practice Address - Street 2:2ND FL, STE A
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01107-1112
Practice Address - Country:US
Practice Address - Phone:413-794-7246
Practice Address - Fax:413-794-0198
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2016-11-15
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Provider Licenses
StateLicense IDTaxonomies
MA256971207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease