Doctor Name: | DR. FREDERICK N QUARLES |
NPI Number: | 1508834532 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 0101038009 |
Business Practice Address: | 2240 Coliseum Dr Ste D Hampton, VA - 236665903 |
Business Phone Number: | 7578273046 |
Business Fax Number: | 7578270305 |
Mailing Address: | 4164 Virginia Beach Blvd, Ste 101 VIRGINIA BEACH |
State: | VA |
Postal Code: | 234521762 |
Phone Number: | 7574906635 |
Fax Number: | 7574906636 |
NPI Enumeration Date: | 03/08/2006 |
NPI Last Update Date: | 08/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 0101038009 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |