Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0120X | Pediatric Surgery | 8478 | ME |
NPI | 1548264054 |
---|---|
Provider Name | Dr. Michael Robert Curci |
First Address | Portland, ME 04102-3103 |
Second Address | Portland, ME 04102-3103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B86474 | (02) |