Healthcare Provider Details

I. General information

NPI: 1457341679
Provider Name (Legal Business Name): GARY C CURHAN MD SCD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2005
Last Update Date: 01/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

181 LONGWOOD AVE CHANNING LABORATORY
BOSTON MA
02115-5804
US

IV. Provider business mailing address

181 LONGWOOD AVE CHANNING LABORATORY
BOSTON MA
02115-5804
US

V. Phone/Fax

Practice location:
  • Phone: 617-732-6383
  • Fax:
Mailing address:
  • Phone: 617-732-6383
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number57714
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: