Provider Demographics
NPI:1841258084
Name:QUIJANO, VICTOR JOSEPH JR (DPM, PHD)
Entity type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:JOSEPH
Last Name:QUIJANO
Suffix:JR
Gender:M
Credentials:DPM, PHD
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Mailing Address - Street 1:6 TSIENNETO RD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038-1584
Mailing Address - Country:US
Mailing Address - Phone:603-432-2508
Mailing Address - Fax:603-432-2008
Practice Address - Street 1:6 TSIENNETO RD
Practice Address - Street 2:SUITE 303
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-1584
Practice Address - Country:US
Practice Address - Phone:603-432-2508
Practice Address - Fax:603-432-2008
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2009-01-20
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Provider Licenses
StateLicense IDTaxonomies
MA2304213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery