Basic Information
Provider Information
NPI: 1033111356
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CURRAN
FirstName: DONALD
MiddleName: J
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 555 WILLARD AVE
Address2:  
City: NEWINGTON
State: CT
PostalCode: 061112631
CountryCode: US
TelephoneNumber: 8605946393
FaxNumber: 8606676875
Practice Location
Address1: 555 WILLARD AVE
Address2:  
City: NEWINGTON
State: CT
PostalCode: 061112631
CountryCode: US
TelephoneNumber: 8605946393
FaxNumber: 8606676875
Other Information
ProviderEnumerationDate: 06/01/2005
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X042147CTY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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