Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 44004 | MA |
NPI | 1154310662 |
---|---|
Provider Name | Eugene L Curletti |
First Address | Pittsfield, MA 01202-1677 |
Second Address | Pittsfield, MA 01201-4147 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2005 |
Last Update Date | 26/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
140236 | (05) | MA |
A56056 | (02) |