Provider Demographics
NPI:1588261457
Name:QUINONES, MARIE ANNETTE
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:ANNETTE
Last Name:QUINONES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 BRIARWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01118-1312
Mailing Address - Country:US
Mailing Address - Phone:413-246-2545
Mailing Address - Fax:
Practice Address - Street 1:1 SILBER WAY
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-1703
Practice Address - Country:US
Practice Address - Phone:413-246-2545
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-05
Last Update Date:2020-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program