Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 25MA09516300 | NJ |
NPI | 1124367404 |
---|---|
Provider Name | Evan Curatolo |
First Address | Shrewsbury, NJ 07702-4368 |
Second Address | Shrewsbury, NJ 07702-4368 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2013 |
Last Update Date | 24/01/2019 |