Provider Demographics
NPI:1730383639
Name:CURTIS, DAVID EUGENE (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:EUGENE
Last Name:CURTIS
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 1:85 SEYMOUR ST
Mailing Address - Street 2:SUITE 415
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-5501
Mailing Address - Country:US
Mailing Address - Phone:860-547-0616
Mailing Address - Fax:860-524-2655
Practice Address - Street 1:85 SEYMOUR ST
Practice Address - Street 2:SUITE 415
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-5501
Practice Address - Country:US
Practice Address - Phone:860-547-0616
Practice Address - Fax:860-524-2655
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2010-09-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT048273208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT061406459OtherMULTIPLAN
CT061406459OtherUNITED HEALTH CARE
CT536126OtherWELLCARE
CT061406459OtherPRIVATE HEALTHCARE SYSTEMS
CT061406459OtherNORTHEAST HEALTH DIRECT
CT1730383639Medicaid
CT3V5503OtherHEALTH NET
CT061406459OtherCOMMUNITY HEALTH NETWORK
CT1730383639OtherANTHEM BCBS OF CT
CT048273OtherCONNECTICARE
CT061406459OtherPIONEER
CT061406459OtherCARESYS MCMC
CT1730383639OtherAETNA
CTP4102199OtherOXFORD
CT061406459OtherGREAT WEST HEALTHCARE
CT061406459OtherBERKLEY ADMINISTRATORS
CT3382402OtherCIGNA
CT061406459OtherTRICARE
CT061406459OtherHEALTH NEW ENGLAND
CT061406459OtherCORVEL
CTD400010426Medicare PIN