Healthcare Provider Details

I. General information

NPI: 1255426680
Provider Name (Legal Business Name): JOHN MICHAEL CURTIN P.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 10/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 M ST NW STE 450
WASHINGTON DC
20005-1726
US

IV. Provider business mailing address

1 EMBARCADERO CTR STE 1900
SAN FRANCISCO CA
94111-3723
US

V. Phone/Fax

Practice location:
  • Phone: 202-204-7092
  • Fax: 202-332-2794
Mailing address:
  • Phone: 415-658-6791
  • Fax: 202-332-2794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA030300
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: