Provider Demographics
NPI:1124321690
Name:QUIRK, NINU ALEXANDRI (MD)
Entity type:Individual
Prefix:DR
First Name:NINU ALEXANDRI
Middle Name:
Last Name:QUIRK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 355
Mailing Address - Street 2:
Mailing Address - City:DEAL
Mailing Address - State:NJ
Mailing Address - Zip Code:07723-0355
Mailing Address - Country:US
Mailing Address - Phone:808-345-8217
Mailing Address - Fax:
Practice Address - Street 1:45 MOHOULI STREET
Practice Address - Street 2:HILO URGENT CARE
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720
Practice Address - Country:US
Practice Address - Phone:808-345-8217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-06
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08590600207Q00000X
HIMD10210207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine