Keith Bertram Quencer MD

NPI 1760643290 - Radiology - 2085R0202X

NPI Details
NPI 1760643290
Gender Male
Enumeration Date 06/18/2008
Last Updated 07/03/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
333 CEDAR ST
DEPARTMENT OF DIAGNOSTIC RADIOLOGY
NEW HAVEN CT, 06510-3206, US
Phone (305) 527-3939
Fax (203) 737-1688
Business Location
198 EDWARDS ST
APT 4
NEW HAVEN CT, 06511-3702, US
Phone (305) 527-3939
Fax
Toxanomy
Taxonomy Code 2085R0202X
License State Massachusetts
License Number 102077
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According to our database, Keith Bertram Quencer MD NPI is 1760643290, taxonomy code is 2085R0202X and license number is 102077, license state is located at Massachusetts. Keith Bertram Quencer MD physically located at 333 Cedar St, New Haven CT, 06510-3206. NPI Number Keith Bertram Quencer MD has the Individual type.

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1760643290 NPI number is provided on an as is basis without warranty of any kind. 1760643290 is maintained by the National Plan & Provider Enumeration System. The contents of Keith Bertram Quencer MD are for informational purposes only.