Provider Demographics
NPI:1255634705
Name:QSA GLOBAL, LLC
Entity type:Organization
Organization Name:QSA GLOBAL, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:STEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-796-7203
Mailing Address - Street 1:1708 HIGHWAY 35
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-1832
Mailing Address - Country:US
Mailing Address - Phone:732-796-7203
Mailing Address - Fax:732-796-7210
Practice Address - Street 1:1670 HIGHWAY 35
Practice Address - Street 2:SUITE 1708
Practice Address - City:MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-1832
Practice Address - Country:US
Practice Address - Phone:732-796-7203
Practice Address - Fax:732-796-7210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-06
Last Update Date:2010-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR13441400261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service