MEDICARE: DR. ALBERT F CURSEEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	9300674	NC
2	207RS0012X	Sleep Medicine (Internal Medicine) Physician	9300674	NC
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	9300674	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	26611	OTHER	NC	BCBS OF NC PIN

General Provider Information

NPI Number	:	1285706853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALBERT F CURSEEN M.D.

Provider Business Mailing Address
First Line	:	237 WHITE ST
Second Line	:	SUITE 1
City	:	JACKSONVILLE
State	:	NC
Zip	:	28546-6351
Country	:	US
Telephone Number	:	910-577-4968
Fax Number	:	910-577-2916

Provider Business Practice Location Address
First Line	:	237 WHITE ST
Second Line	:	SUITE 1
City	:	JACKSONVILLE
State	:	NC
Zip	:	28546-6351
Country	:	US
Telephone Number	:	910-577-4968
Fax Number	:	910-577-2916

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	04/18/2016

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