Healthcare Provider Details

I. General information

NPI: 1164558078
Provider Name (Legal Business Name): J MICHAEL B CURI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 PECK RD
TORRINGTON CT
06790-6123
US

IV. Provider business mailing address

30 PECK RD
TORRINGTON CT
06790-6123
US

V. Phone/Fax

Practice location:
  • Phone: 860-482-8177
  • Fax: 860-482-6500
Mailing address:
  • Phone: 860-482-8177
  • Fax: 860-482-6500

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number042220
License Number StateCT

VIII. Authorized Official

Name: DR. J MICHAEL B CURI
Title or Position: OWNER
Credential: MD
Phone: 860-482-8177