Provider Demographics
NPI:1841271863
Name:QUINN, THOMAS E (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:E
Last Name:QUINN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 ATWOOD DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-4272
Mailing Address - Country:US
Mailing Address - Phone:413-570-4900
Mailing Address - Fax:413-570-4196
Practice Address - Street 1:22 ATWOOD DR
Practice Address - Street 2:SUITE 301
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-4272
Practice Address - Country:US
Practice Address - Phone:413-570-4900
Practice Address - Fax:413-570-4196
Is Sole Proprietor?:No
Enumeration Date:2005-11-08
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA45658207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA043476949OtherCONSOLIDATED HEALTH PLANS
MA043476949OtherGREAT-WEST HEALTH PLAN
MA2081628Medicaid
MA110039180AMedicaid
MA043476949OtherPLAN VISTA
MA043476949OtherUNICARE/GIC
MA043476949OtherNORTHEAST HEALTHCARE ALLI
MA043476949OtherPRIVATE HEALTH CARE SYS
MA734077OtherTUFTS
MAJ01054OtherBCBS MA
MA043476949OtherNORTH AMERICAN PREFERRED
MA15677OtherHEALTH NEW ENGLAND
MA703002OtherCONNECTICARE
MA2081628Medicaid
MAS400189031Medicare PIN
MAJ01054OtherBCBS MA
MA043476949OtherCONSOLIDATED HEALTH PLANS
MA6691OtherBMC
MA734077OtherTUFTS