Basic Information
| Provider Information | |||||||||
| NPI: | 1083729065 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CURTIS | ||||||||
| FirstName: | DEBRA | ||||||||
| MiddleName: | GOLDMAN | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | GOLDMAN | ||||||||
| OtherFirstName: | DEBRA | ||||||||
| OtherMiddleName: | BETH | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 8186 LARK BROWN RD | ||||||||
| Address2: | STE 201 | ||||||||
| City: | ELKRIDGE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210756434 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4107303399 | ||||||||
| FaxNumber: | 4434784726 | ||||||||
| Practice Location | |||||||||
| Address1: | 700 GEIPE RD | ||||||||
| Address2: | |||||||||
| City: | CATONSVILLE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212284147 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103688750 | ||||||||
| FaxNumber: | 4103688751 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/20/2006 | ||||||||
| LastUpdateDate: | 01/22/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | D0058206 | MD | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.