Provider Demographics
NPI:1285852210
Name:CURCIO, EDWARD PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:PAUL
Last Name:CURCIO
Suffix:
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 1:2251 PIMMIT DRIVE
Mailing Address - Street 2:SUITE C-3
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22043-2832
Mailing Address - Country:US
Mailing Address - Phone:703-790-9610
Mailing Address - Fax:703-790-5583
Practice Address - Street 1:2251 PIMMIT DRIVE
Practice Address - Street 2:SUITE C-3
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22043-2832
Practice Address - Country:US
Practice Address - Phone:703-790-9610
Practice Address - Fax:703-790-5583
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101023215103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA175579Medicare PIN