Healthcare Provider Details

I. General information

NPI: 1356556070
Provider Name (Legal Business Name): EUGENE CURLEY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2007
Last Update Date: 06/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 S GEORGE ST 4TH FLOOR MKB
YORK PA
17403-3676
US

IV. Provider business mailing address

1803 MOUNT ROSE AVE SUITE B3
YORK PA
17403-3026
US

V. Phone/Fax

Practice location:
  • Phone: 717-851-2417
  • Fax: 717-851-3712
Mailing address:
  • Phone: 717-851-1405
  • Fax: 717-851-3712

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberMD439632
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier102489181
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer
# 2
Identifier30079290
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerAMERIHEALTH MERCY-WMG
# 3
Identifier965757
Identifier TypeOTHER
Identifier StateMD
Identifier IssuerCAREFIRST MD BCBS
# 4
Identifier301600
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerUNISON
# 5
Identifier2507496
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerHIGHMARK BLUE SHILD-WMG
# 6
Identifier301600
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerUNISON-WMG
# 7
Identifier1591277
Identifier TypeOTHER
Identifier StatePA
Identifier IssuerGATEWAY-WMG

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: