Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | CI0005689 | DE |
Y | 207K00000X | Allergist & Immunologist | D0050650 | MD |
NPI | 1194787689 |
---|---|
Provider Name | Curt M Watkins |
First Address | Salisbury, MD 21804-1950 |
Second Address | Salisbury, MD 21801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2006 |
Last Update Date | 12/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0001017001 | (05) | DE |
159060000 | (05) | MD |
G98117 | (02) |