Provider Demographics
NPI:1609982560
Name:CURLAND, STEVEN MAX (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:MAX
Last Name:CURLAND
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 1:118 NEW LONDON TURNPIKE
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360
Mailing Address - Country:US
Mailing Address - Phone:860-887-0202
Mailing Address - Fax:860-887-5002
Practice Address - Street 1:118 NEW LONDON TURNPIKE
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360
Practice Address - Country:US
Practice Address - Phone:860-887-0202
Practice Address - Fax:860-887-5002
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT020569207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001205699Medicaid
B83943Medicare UPIN
CT110000915Medicare ID - Type Unspecified