Provider Demographics
NPI:1386206084
Name:CURRIER, JEROME
Entity type:Individual
Prefix:
First Name:JEROME
Middle Name:
Last Name:CURRIER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:293 EXCHANGE ST
Mailing Address - Street 2:
Mailing Address - City:ATHOL
Mailing Address - State:MA
Mailing Address - Zip Code:01331-1843
Mailing Address - Country:US
Mailing Address - Phone:978-249-7900
Mailing Address - Fax:978-249-7902
Practice Address - Street 1:293 EXCHANGE ST
Practice Address - Street 2:
Practice Address - City:ATHOL
Practice Address - State:MA
Practice Address - Zip Code:01331-1843
Practice Address - Country:US
Practice Address - Phone:978-249-7900
Practice Address - Fax:978-249-7902
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-02
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor