Provider Demographics
NPI:1427404110
Name:FRANK TWAROG MD AND CURTIS MOODY MD LLP
Entity Type:Organization
Organization Name:FRANK TWAROG MD AND CURTIS MOODY MD LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:J
Authorized Official - Last Name:TWAROG
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:978-369-3567
Mailing Address - Street 1:86 BAKER AVENUE EXT STE 304
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-2132
Mailing Address - Country:US
Mailing Address - Phone:978-369-3567
Mailing Address - Fax:978-369-5811
Practice Address - Street 1:86 BAKER AVENUE EXTENSTION
Practice Address - Street 2:SUITE 304
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01886
Practice Address - Country:US
Practice Address - Phone:978-369-3567
Practice Address - Fax:978-369-5811
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FRANK TWAROG MD AND CURTIS MOODY MD LLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-05-11
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA034521207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110035199AMedicaid
MAM20418Medicare PIN