Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 25MA08106600 | NJ |
NPI | 1104985514 |
---|---|
Provider Name | Dr. Liliane B. Quinlan |
First Address | Marlton, NJ 08053-4112 |
Second Address | Williamstown, NJ 08094-1044 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2006 |
Last Update Date | 24/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0123358 | (05) | NJ |
I72626 | (02) | NJ |