Provider Demographics
NPI:1164558078
Name:J MICHAEL B CURI
Entity Type:Organization
Organization Name:J MICHAEL B CURI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:J MICHAEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:CURI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-482-8177
Mailing Address - Street 1:30 PECK RD
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-6123
Mailing Address - Country:US
Mailing Address - Phone:860-482-8177
Mailing Address - Fax:860-482-6500
Practice Address - Street 1:30 PECK RD
Practice Address - Street 2:
Practice Address - City:TORRINGTON
Practice Address - State:CT
Practice Address - Zip Code:06790-6123
Practice Address - Country:US
Practice Address - Phone:860-482-8177
Practice Address - Fax:860-482-6500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT042220208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTI05334Medicare UPIN
CTI03030Medicare UPIN