Healthcare Provider Details

I. General information

NPI: 1184606196
Provider Name (Legal Business Name): HEATHER A CURRY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2005
Last Update Date: 12/23/2021
Certification Date: 12/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 SPRUCE STREET
PHILADELPHIA PA
19104-4206
US

IV. Provider business mailing address

3400 SPRUCE STREET
PHILADELPHIA PA
19104-4206
US

V. Phone/Fax

Practice location:
  • Phone: 215-662-2428
  • Fax: 215-349-5923
Mailing address:
  • Phone: 215-662-2428
  • Fax: 215-349-5923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberMD417170
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code2085H0002X
TaxonomyHospice and Palliative Medicine (Radiology) Physician
License NumberMD417170
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: