Provider Demographics
NPI:1760465793
Name:CURTIS, HARRY MANNING (MD)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:MANNING
Last Name:CURTIS
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 1:565 TURNPIKE ST
Mailing Address - Street 2:SUITE 76
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-5922
Mailing Address - Country:US
Mailing Address - Phone:844-646-3432
Mailing Address - Fax:844-646-3432
Practice Address - Street 1:565 TURNPIKE ST
Practice Address - Street 2:SUITE 76
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-5922
Practice Address - Country:US
Practice Address - Phone:844-646-3432
Practice Address - Fax:844-646-3432
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-23
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA47606207RC0000X, 207R00000X, 207UN0901X
LAL015253207RC0000X
LAR070127207RC0000X
LAMD.015253207R00000X, 207UN0901X
NH6918207UN0901X, 207RC0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3091899Medicaid
MAJ03594Medicare PIN
A66332Medicare UPIN