Provider Demographics
NPI:1255376166
Name:CURLIK, MARTIN R (MD)
Entity type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:R
Last Name:CURLIK
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 1:50 UNION ST
Mailing Address - Street 2:SUITE 1400
Mailing Address - City:ELLSWORTH
Mailing Address - State:ME
Mailing Address - Zip Code:04605-1534
Mailing Address - Country:US
Mailing Address - Phone:207-664-5455
Mailing Address - Fax:207-664-5456
Practice Address - Street 1:1400 E KINCAID ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98274-4127
Practice Address - Country:US
Practice Address - Phone:360-814-6565
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA43259208800000X
WAMD61294285208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1565030OtherAMERIHEALTH PPO
NJ8219546OtherGHI
NJ0104669000OtherAMERIHEALTH HMO
NJ1121207OtherAETNA HMO
NJ4109260OtherAETNA
NJ061756559OtherBCBS OF NJ
NJP1082680OtherOXFORD
NJ1704605Medicaid
NJ8219546OtherGHI
NJ1565030OtherAMERIHEALTH PPO
NJ453749UQAMedicare ID - Type Unspecified
ME001057302Medicare PIN
ME001057303Medicare PIN