Healthcare Provider Details

I. General information

NPI: 1063497394
Provider Name (Legal Business Name): ARLENE CURRAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2005
Last Update Date: 07/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 GENERAL ST ANDREA SULLIVAN-DIRECTOR OF MANAGED CARE
LAWRENCE MA
01841-2961
US

IV. Provider business mailing address

1 GENERAL ST ANDREA SULLIVAN-DIRECTOR OF MANAGED CARE
LAWRENCE MA
01841-2961
US

V. Phone/Fax

Practice location:
  • Phone: 978-683-4000
  • Fax: 978-946-8017
Mailing address:
  • Phone: 978-683-4000
  • Fax: 978-946-8017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number80551
License Number StateMA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: