Provider Demographics
NPI:1891840765
Name:CURRAN, WILLIAM J JR
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:J
Last Name:CURRAN
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3025 GARRETT RD
Mailing Address - Street 2:
Mailing Address - City:DREXEL HILL
Mailing Address - State:PA
Mailing Address - Zip Code:19026-2216
Mailing Address - Country:US
Mailing Address - Phone:610-623-4129
Mailing Address - Fax:610-623-1664
Practice Address - Street 1:3025 GARRETT RD
Practice Address - Street 2:
Practice Address - City:DREXEL HILL
Practice Address - State:PA
Practice Address - Zip Code:19026-2216
Practice Address - Country:US
Practice Address - Phone:610-623-4129
Practice Address - Fax:610-623-1664
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PANO LICENSE REQUIRED156FX1800X, 156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACU281862OtherBLUE SHIELD
PACU281862OtherBLUE SHIELD