Provider Demographics
NPI:1740446301
Name:MCQUAID, THOMAS JUDE (DNP)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:JUDE
Last Name:MCQUAID
Suffix:
Gender:M
Credentials:DNP
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:286A BRADFORD ST UNIT 9
Mailing Address - Street 2:
Mailing Address - City:PROVINCETOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02657-1843
Mailing Address - Country:US
Mailing Address - Phone:917-566-3554
Mailing Address - Fax:203-274-6713
Practice Address - Street 1:286A BRADFORD ST UNIT 9
Practice Address - Street 2:
Practice Address - City:PROVINCETOWN
Practice Address - State:MA
Practice Address - Zip Code:02657-1843
Practice Address - Country:US
Practice Address - Phone:917-566-3554
Practice Address - Fax:203-274-6713
Is Sole Proprietor?:No
Enumeration Date:2008-08-04
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF334662-1363LF0000X
NH049930-23363LF0000X
CT003827363LF0000X
MARN250520363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP69586Medicare UPIN