Healthcare Provider Details
I. General information
NPI: 1285657080
Provider Name (Legal Business Name): THOMAS JOSEPH CURRAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 07/25/2006
Last Update Date: 02/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1600 EUREKA RD
ROSEVILLE CA
95661-3027
US
IV. Provider business mailing address
1800 HARRISON ST FL 7
OAKLAND CA
94612-3466
US
V. Phone/Fax
- Phone: 916-784-4000
- Fax:
- Phone: 510-625-6262
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2086S0120X |
| Taxonomy | Pediatric Surgery Physician |
| License Number | G63301 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: