MEDICARE: MR. GREGORY CURTIS LICSW

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	101Y00000X	Counselor	113347	MA

General Provider Information

NPI Number	:	1881848208
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. GREGORY CURTIS LICSW

Provider Business Mailing Address
First Line	:	67 S BEDFORD ST
Second Line	:	SUITE 400 WEST
City	:	BURLINGTON
State	:	MA
Zip	:	01803-5108
Country	:	US
Telephone Number	:	781-229-5874
Fax Number	:	781-272-0558

Provider Business Practice Location Address
First Line	:	67 S BEDFORD ST
Second Line	:	SUITE 400 WEST
City	:	BURLINGTON
State	:	MA
Zip	:	01803-5108
Country	:	US
Telephone Number	:	781-229-5874
Fax Number	:	781-272-0558

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

Provider Enumeration Date	:	11/12/2008
Last Update Date	:	07/31/2015

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