Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 261949 | MA |
NPI | 1063857118 |
---|---|
Provider Name | Kevin A. Quiusky |
First Address | Pittsfield, MA 01201-4147 |
Second Address | Pittsfield, MA 01201-4147 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2013 |
Last Update Date | 17/03/2018 |