Provider Demographics
NPI:1699402123
Name:KAREN ANN QUINLAN MEMORIAL FOUNDATION
Entity type:Organization
Organization Name:KAREN ANN QUINLAN MEMORIAL FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARLINA
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCHETTING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-383-0115
Mailing Address - Street 1:99 SPARTA AVE
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-2614
Mailing Address - Country:US
Mailing Address - Phone:973-888-9100
Mailing Address - Fax:973-383-4739
Practice Address - Street 1:99 SPARTA AVE
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-2614
Practice Address - Country:US
Practice Address - Phone:973-888-9100
Practice Address - Fax:973-383-4739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0002XAllopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative MedicineGroup - Multi-Specialty