Provider Demographics
NPI:1215919352
Name:ALITZ, CURTIS JEFFREY (MD)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:JEFFREY
Last Name:ALITZ
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 1:1648 KENDRA ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-7955
Mailing Address - Country:US
Mailing Address - Phone:845-857-4265
Mailing Address - Fax:
Practice Address - Street 1:25 COMMERCE PARK DR
Practice Address - Street 2:
Practice Address - City:RAPHINE
Practice Address - State:VA
Practice Address - Zip Code:24472-2547
Practice Address - Country:US
Practice Address - Phone:540-490-2527
Practice Address - Fax:540-377-2099
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101041951207XX0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0004XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryFoot and Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD000Medicare UPIN
33025FMedicare ID - Type Unspecified