Provider Demographics
NPI:1215138409
Name:QUINCE ORCHARD MEDICAL CENTER, PC
Entity type:Organization
Organization Name:QUINCE ORCHARD MEDICAL CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:FRED
Authorized Official - Last Name:LIPSCHUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:301-762-6686
Mailing Address - Street 1:14800 PHYSICIANS LN
Mailing Address - Street 2:SUITE 231
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3940
Mailing Address - Country:US
Mailing Address - Phone:301-762-6686
Mailing Address - Fax:301-762-6646
Practice Address - Street 1:14800 PHYSICIANS LN
Practice Address - Street 2:SUITE 231
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3940
Practice Address - Country:US
Practice Address - Phone:301-762-6686
Practice Address - Fax:301-762-6646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS01599111NS0005X
MDH00506662081H0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty
Not Answered2081H0002XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationHospice and Palliative MedicineGroup - Multi-Specialty