Provider Demographics
NPI:1053310995
Name:SMITH, CURTIS ALDEN (DO)
Entity Type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:ALDEN
Last Name:SMITH
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 S CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:DE
Mailing Address - Zip Code:19956-1525
Mailing Address - Country:US
Mailing Address - Phone:302-875-6800
Mailing Address - Fax:
Practice Address - Street 1:314 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:DE
Practice Address - Zip Code:19956-1525
Practice Address - Country:US
Practice Address - Phone:302-875-6800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC2-0003304207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0898315OtherAETNA
DE510326754OtherBLUE CROSS BLUE SHIELD
DE0000886104Medicaid
DE4364077OtherAETNA
DE0288692000OtherAMERIHEALTH
DE000000208521OtherUNISON
DE32235OtherCOVENTRY
824118OtherMAMSI OPTIMUM CHOICE
DE510326754OtherBLUE CROSS BLUE SHIELD
DEG00004Medicare PIN
DE4364077OtherAETNA
DE0000886104Medicaid