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NPI Provider: 1265421424
Contact Name: DiVaio-Bush Victoria
Position: Director Physician Services
Phone: (617) 376-4018
Qmc Ed Physicians Information:
Qmc Ed Physicians organization have npi 1265421424, taxonomy code is 207P00000X with license number is 56804 in . This Business address located in 2600 Horizon Dr SE, Grand Rapids, MI 49546 Michigan. Get directions of Qmc Ed Physicians.
Practice Location
Address: 114 Whitwell St, Quincy, MA 21691
Phone: (617) 376-5549
Business Location
Address: 2600 Horizon Dr SE, Grand Rapids, MI 49546
Taxonomy
Taxonomy Code: 207P00000X
License Number: 56804
License Number of State:
Primary Taxonomy Switch: Y
Enumeration Date: 10/19/2005
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