Healthcare Provider Details

I. General information

NPI: 1013385137
Provider Name (Legal Business Name): CURX FAMILY AND URGENT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2015
Last Update Date: 09/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 MERRIMACK ST
METHUEN MA
01844-6117
US

IV. Provider business mailing address

160 MERRIMACK ST
METHUEN MA
01844-6117
US

V. Phone/Fax

Practice location:
  • Phone: 978-975-0990
  • Fax: 978-975-7803
Mailing address:
  • Phone: 978-975-0990
  • Fax: 978-975-7803

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QA0000X
TaxonomyAdolescent Medicine (Family Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. KAMRAN EHSAN
Title or Position: CEO
Credential:
Phone: 978-975-0990