MEDICARE: MR. DANIEL MICHAEL CURCIO LAC

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	101Y00000X	Counselor	37AC00560400	NJ

General Provider Information

NPI Number	:	1942876610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DANIEL MICHAEL CURCIO LAC

Provider Business Mailing Address
First Line	:	63 RIDGE PL
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-5160
Country	:	US
Telephone Number	:	973-652-6610
Fax Number	:

Provider Business Practice Location Address
First Line	:	1401 VALLEY RD
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-2073
Country	:	US
Telephone Number	:	973-435-6252
Fax Number	:

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

Provider Enumeration Date	:	06/02/2021
Last Update Date	:	06/02/2021

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