Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 35.053774 | OH |
N | 207QA0401X | Family Doctor - Addiction Medicine | 35053774 | OH |
NPI | 1942252812 |
---|---|
Provider Name | Dr. Mary Anne Curtiss |
First Address | Cincinnati, OH 45220-1202 |
Second Address | Cincinnati, OH 45220-1202 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2006 |
Last Update Date | 03/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0720858 | (05) | OH |
D98040 | (02) | OH |