MEDICARE: DR. TERRENCE MICHAEL CURLEY D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS-OO7190L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	725473H2B	OTHER	PA	MEDICARE ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700971058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERRENCE MICHAEL CURLEY D.O.

Provider Business Mailing Address
First Line	:	5008 BALTIMORE AVE
Second Line	:	SUITE A
City	:	PHILADELPHIA
State	:	PA
Zip	:	19143-3302
Country	:	US
Telephone Number	:	215-764-8520
Fax Number	:	215-764-8521

Provider Business Practice Location Address
First Line	:	5008 BALTIMORE AVE
Second Line	:	SUITE A
City	:	PHILADELPHIA
State	:	PA
Zip	:	19143-3302
Country	:	US
Telephone Number	:	215-764-8520
Fax Number	:	215-764-8521

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	05/06/2008

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