Healthcare Provider Details

I. General information

NPI: 1528084480
Provider Name (Legal Business Name): JOHN R CURRAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 02/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 BOLTON STREET
MARLBORO MA
01752
US

IV. Provider business mailing address

320 BOLTON STREET
MARLBORO MA
01752
US

V. Phone/Fax

Practice location:
  • Phone: 508-485-0801
  • Fax: 508-485-3308
Mailing address:
  • Phone: 508-485-0801
  • Fax: 508-485-3308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number51745
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: