Healthcare Provider Details

I. General information

NPI: 1760465793
Provider Name (Legal Business Name): HARRY MANNING CURTIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/23/2005
Last Update Date: 10/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

565 TURNPIKE ST SUITE 76
NORTH ANDOVER MA
01845-5922
US

IV. Provider business mailing address

565 TURNPIKE ST SUITE 76
NORTH ANDOVER MA
01845-5922
US

V. Phone/Fax

Practice location:
  • Phone: 844-646-3432
  • Fax: 844-646-3432
Mailing address:
  • Phone: 844-646-3432
  • Fax: 844-646-3432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number47606
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberL015253
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberR070127
License Number StateLA
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD.015253
License Number StateLA
# 5
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number47606
License Number StateMA
# 6
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number47606
License Number StateMA
# 7
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number6918
License Number StateNH
# 8
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License NumberMD.015253
License Number StateLA
# 9
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number6918
License Number StateNH
# 10
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number6918
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: