Provider Demographics
NPI:1184763971
Name:CURCIO, PAUL JOHN (DC)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:JOHN
Last Name:CURCIO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13120 LOTH LORIAN DR
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:VA
Mailing Address - Zip Code:20124-1300
Mailing Address - Country:US
Mailing Address - Phone:703-222-3737
Mailing Address - Fax:703-449-9346
Practice Address - Street 1:14215E CENTREVILLE SQ
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20121-2301
Practice Address - Country:US
Practice Address - Phone:703-222-3737
Practice Address - Fax:703-449-9346
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104000808111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA568558Medicare ID - Type UnspecifiedCHIROPRACTOR