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Contact Information

GAIL QUACKENBUSH, MD
56 DOWNEY DR
TENAFLY, NJ07670-3004
 Phone: 201-694-0674
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

Body Imaging

2085B0100X
 

Cytopathology

207ZC0500X 22 Physician/Pathology
 

Diagnostic Ultrasound

2085U0001X
 

Pediatric Radiology

2085P0229X
Indicates primary specialty

NPI Profile & details for GAIL QUACKENBUSH · (Female)

NPI # 1245271048
Status Active
Credentials MD
Entity Individual
Enumeration date 06/10/2006
Last updated 04/19/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA06068500
Hospital affiliation(s)
  • ENGLEWOOD HOSPITAL AND MEDICAL CENTER - (Acute Care)
    350 ENGLE ST
    ENGLEWOOD, NJ 07631
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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