Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 20A9545 | CA |
Y | 207RC0200X | Critical Care Medicine | 83201 | SC |
NPI | 1053322172 |
---|---|
Provider Name | Noel P Curcio |
First Address | Greenville, SC 29601-2842 |
Second Address | Greenville, SC 29605-4281 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2006 |
Last Update Date | 28/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00AX95450 | (05) | CA |
I52089 | (02) | CA |