Provider Demographics
NPI:1467767434
Name:CURCIO, PETER NICHOLAS (RPH)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:NICHOLAS
Last Name:CURCIO
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 PRISTINE PL
Mailing Address - Street 2:
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-2180
Mailing Address - Country:US
Mailing Address - Phone:856-582-4671
Mailing Address - Fax:
Practice Address - Street 1:118 PRISTINE PL
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-2180
Practice Address - Country:US
Practice Address - Phone:856-582-4671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-13
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ12160183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist