Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122300000X | Dentist | DS027969L | PA |
NPI | 1003900135 |
---|---|
Provider Name | Dr. Vincent J. Curmaci JR. |
First Address | Catasauqua, PA 18032-2238 |
Second Address | Catasauqua, PA 18032-2238 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
DS027969L | DENTAL LICENSE (01) | PA |