Provider Demographics
NPI:1740228550
Name:BYRNES, CURTIS WILLIAM (DO)
Entity Type:Individual
Prefix:
First Name:CURTIS
Middle Name:WILLIAM
Last Name:BYRNES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:173 WALNFORD RD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08501-1920
Mailing Address - Country:US
Mailing Address - Phone:609-259-7400
Mailing Address - Fax:609-259-4905
Practice Address - Street 1:173 WALNFORD RD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08501-1920
Practice Address - Country:US
Practice Address - Phone:609-259-7400
Practice Address - Fax:609-259-4905
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-03
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB06629300207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8362807Medicaid
NJ8362807Medicaid
H10365Medicare UPIN