Healthcare Provider Details

I. General information

NPI: 1497750087
Provider Name (Legal Business Name): SEAN MICHAEL CURTIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 05/16/2023
Certification Date: 05/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 MEDSTAR BLVD STE 300
BEL AIR MD
21015-1806
US

IV. Provider business mailing address

12 MEDSTAR BLVD STE 300
BEL AIR MD
21015-1806
US

V. Phone/Fax

Practice location:
  • Phone: 410-638-9001
  • Fax: 410-638-6633
Mailing address:
  • Phone: 410-638-9001
  • Fax: 410-638-6633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RS0010X
TaxonomySports Medicine (Internal Medicine) Physician
License NumberD0052578
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: