Provider Demographics
NPI:1194787689
Name:WATKINS, CURT M (MD)
Entity type:Individual
Prefix:
First Name:CURT
Middle Name:M
Last Name:WATKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4307 STURBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-1950
Mailing Address - Country:US
Mailing Address - Phone:410-873-2111
Mailing Address - Fax:
Practice Address - Street 1:201 PINE BLUFF RD
Practice Address - Street 2:STE 28
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801
Practice Address - Country:US
Practice Address - Phone:410-742-5599
Practice Address - Fax:410-742-4873
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0050650207K00000X
DECI0005689207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0001017001Medicaid
MD159060000Medicaid
MD159060000Medicaid
MD723LS26DMedicare ID - Type Unspecified
DEG01762P62Medicare ID - Type Unspecified