Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 158085 | MA |
NPI | 1003800475 |
---|---|
Provider Name | Dr. Edward Curcio III |
First Address | Wilmington, MA 01887 |
Second Address | Wilmington, MA 01887 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2005 |
Last Update Date | 23/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3197921 | (05) | MA |
G99645 | (02) | MA |