Provider Demographics
NPI:1679900732
Name:DOMINICK A. CURATOLA, MD, INC.
Entity Type:Organization
Organization Name:DOMINICK A. CURATOLA, MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DOMINICK
Authorized Official - Middle Name:A
Authorized Official - Last Name:CURATOLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-969-6000
Mailing Address - Street 1:205 SOUTH DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4323
Mailing Address - Country:US
Mailing Address - Phone:650-969-6000
Mailing Address - Fax:650-969-6008
Practice Address - Street 1:205 SOUTH DR
Practice Address - Street 2:SUITE A
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4323
Practice Address - Country:US
Practice Address - Phone:650-969-6000
Practice Address - Fax:650-969-6008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-03
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG52137207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA112919Medicare PIN