Healthcare Provider Details

I. General information

NPI: 1548264054
Provider Name (Legal Business Name): MICHAEL ROBERT CURCI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 06/13/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

887 CONGRESS ST STE 410A
PORTLAND ME
04102-3103
US

IV. Provider business mailing address

887 CONGRESS ST STE 410A
PORTLAND ME
04102-3103
US

V. Phone/Fax

Practice location:
  • Phone: 207-772-4444
  • Fax: 207-772-7725
Mailing address:
  • Phone: 207-772-4444
  • Fax: 207-772-7725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0120X
TaxonomyPediatric Surgery Physician
License Number8478
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: