Healthcare Provider Details

I. General information

NPI: 1285852210
Provider Name (Legal Business Name): EDWARD PAUL CURCIO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2251 PIMMIT DRIVE SUITE C-3
FALLS CHURCH VA
22043-2832
US

IV. Provider business mailing address

2251 PIMMIT DRIVE SUITE C-3
FALLS CHURCH VA
22043-2832
US

V. Phone/Fax

Practice location:
  • Phone: 703-790-9610
  • Fax: 703-790-5583
Mailing address:
  • Phone: 703-790-9610
  • Fax: 703-790-5583

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TP0016X
TaxonomyPrescribing (Medical) Psychologist
License Number0101023215
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: