Healthcare Provider Details

I. General information

NPI: 1326049206
Provider Name (Legal Business Name): MARK J CURDO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 10/07/2022
Certification Date: 10/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 WOBURN ST
READING MA
01867-2907
US

IV. Provider business mailing address

2 SENECA LN
WILMINGTON MA
01887-1980
US

V. Phone/Fax

Practice location:
  • Phone: 781-944-4250
  • Fax: 781-944-6895
Mailing address:
  • Phone: 978-988-5724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number156492
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: