Kelly Theresa Quinn, MD | |
55 Fogg Rd, S Weymouth, MA 02190-2432 | |
(781) 624-8000 | |
Not Available |
Full Name | Kelly Theresa Quinn |
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Gender | Female |
Speciality | Pediatrics |
Location | 55 Fogg Rd, S Weymouth, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1710447123 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2080P0214X | Pediatrics - Pediatric Pulmonology | 291800 (Massachusetts) | Secondary |
208000000X | Pediatrics | 291800 (Massachusetts) | Primary |
Entity Name | Children's Hospital Pediatric Associates, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457306664 PECOS PAC ID: 3476541830 Enrollment ID: O20040504000964 |
Mailing Address | Practice Location Address |
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Kelly Theresa Quinn, MD 300 Longwood Ave, Boston, MA 02115-5724 Ph: (617) 355-6000 | Kelly Theresa Quinn, MD 55 Fogg Rd, S Weymouth, MA 02190-2432 Ph: (781) 624-8000 |
Dr. Gabriel Paris, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 55 Fogg Rd, S Weymouth, MA 02190 Phone: 781-624-8000 | |
Joshua Meyer, Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Fogg Rd, S Weymouth, MA 02190 Phone: 781-624-8000 | |
Dr. Mairead Rynn Wilson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Fogg Rd, S Weymouth, MA 02190 Phone: 781-624-8000 |