Healthcare Provider Details

I. General information

NPI: 1053373845
Provider Name (Legal Business Name): JOHN CURELLI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 02/12/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

459 STATE RD UNIT 19
VINEYARD HAVEN MA
02568
US

IV. Provider business mailing address

12 OLD SCHOOLHOUSE VILLAGE
VINEYARD HAVEN MA
02568
US

V. Phone/Fax

Practice location:
  • Phone: 508-693-4380
  • Fax: 508-629-5656
Mailing address:
  • Phone: 508-693-4380
  • Fax: 508-696-9350

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: JOHN CURELLI
Title or Position: OWNER
Credential:
Phone: 508-693-4380