Basic Information
Provider Information
NPI: 1255426680
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CURTIN
FirstName: JOHN
MiddleName: MICHAEL
NamePrefix: MR.
NameSuffix:  
Credential: P.A.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 EMBARCADERO CTR STE 1900
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941113723
CountryCode: US
TelephoneNumber: 4156586791
FaxNumber: 2023322794
Practice Location
Address1: 1501 M ST NW STE 450
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200051726
CountryCode: US
TelephoneNumber: 2022047092
FaxNumber: 2023322794
Other Information
ProviderEnumerationDate: 10/03/2006
LastUpdateDate: 10/15/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363A00000XPA030300DCY Physician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant 

No ID Information.


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