Provider Demographics
NPI:1255357901
Name:CURTISS, ALLAN POND JR (MD)
Entity type:Individual
Prefix:MR
First Name:ALLAN
Middle Name:POND
Last Name:CURTISS
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:97 SHOREHAM DEPOT RD
Mailing Address - Street 2:
Mailing Address - City:WHITING
Mailing Address - State:VT
Mailing Address - Zip Code:05778-9748
Mailing Address - Country:US
Mailing Address - Phone:802-897-5681
Mailing Address - Fax:
Practice Address - Street 1:2987 VT ROUTE 22A
Practice Address - Street 2:
Practice Address - City:SHOREHAM
Practice Address - State:VT
Practice Address - Zip Code:05770
Practice Address - Country:US
Practice Address - Phone:802-897-7000
Practice Address - Fax:802-897-7718
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2016-07-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VT7887207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0009367Medicaid
NY02588778Medicaid
NY02588778Medicaid
VTB99146Medicare UPIN