Provider Demographics
NPI:1063895456
Name:CURTIS, DAMON (PA)
Entity type:Individual
Prefix:
First Name:DAMON
Middle Name:
Last Name:CURTIS
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HIGH SERVICE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904-5113
Mailing Address - Country:US
Mailing Address - Phone:401-456-3000
Mailing Address - Fax:
Practice Address - Street 1:110 LONG POND ROAD
Practice Address - Street 2:SUITE 202
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360
Practice Address - Country:US
Practice Address - Phone:508-747-4424
Practice Address - Fax:508-747-4420
Is Sole Proprietor?:No
Enumeration Date:2015-07-02
Last Update Date:2021-07-02
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant