Provider Demographics
NPI:1033258884
Name:CURRAN, CHARLES (PT)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:
Last Name:CURRAN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11070 CATHELL RD STE 4
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:MD
Mailing Address - Zip Code:21811-9344
Mailing Address - Country:US
Mailing Address - Phone:410-208-3630
Mailing Address - Fax:
Practice Address - Street 1:11070 CATHELL RD
Practice Address - Street 2:SUITE 4
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-9344
Practice Address - Country:US
Practice Address - Phone:410-208-3630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18278225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD713MOtherMEDICARE GROUP #
MD713MR273OtherMEDICARE INDIVIDUAL #
DEG02084OtherMEDICARE GROUP #
DE9000709DEOtherBLUE CROSS GROUP #
DE022657A84OtherMEDICARE INDIVIDUAL #
MD84128704OtherCAREFIRST INDIVI REND. #
MDJ5640007OtherBLUE CHOICE INDIVID. #
MD1124117916OtherGROUP NPI #
MD754AATOtherCAREFIRST GROUP #
MDJ564OtherBLUE CHOICE GROUP #