Healthcare Provider Details

I. General information

NPI: 1952378804
Provider Name (Legal Business Name): JOSEPH DOMENIC CURLETTA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 09/01/2023
Certification Date: 01/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3645 S ROME ST STE 216
GILBERT AZ
85297-7338
US

IV. Provider business mailing address

5281 N 99TH AVE STE 100
GLENDALE AZ
85305-2209
US

V. Phone/Fax

Practice location:
  • Phone: 623-516-8252
  • Fax: 623-516-8253
Mailing address:
  • Phone: 623-516-8252
  • Fax: 623-516-8253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number19216
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number19216
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: