Provider Demographics
NPI:1093764540
Name:MCCURDY, RICHARD R JR (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:R
Last Name:MCCURDY
Suffix:JR
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 1:1088 W BALTIMORE PIKE
Mailing Address - Street 2:STE 2500
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-5146
Mailing Address - Country:US
Mailing Address - Phone:610-565-4107
Mailing Address - Fax:610-565-8349
Practice Address - Street 1:1088 W BALTIMORE PIKE
Practice Address - Street 2:STE 2500
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-5146
Practice Address - Country:US
Practice Address - Phone:610-565-4107
Practice Address - Fax:610-565-8349
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2014-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD425648207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAI26124Medicare UPIN
PA088712PF8Medicare PIN
PA1012485860001Medicaid