Provider Demographics
NPI:1700971058
Name:CURLEY, TERRENCE MICHAEL (DO)
Entity Type:Individual
Prefix:DR
First Name:TERRENCE
Middle Name:MICHAEL
Last Name:CURLEY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5008 BALTIMORE AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19143-3302
Mailing Address - Country:US
Mailing Address - Phone:215-764-8520
Mailing Address - Fax:215-764-8521
Practice Address - Street 1:5008 BALTIMORE AVE
Practice Address - Street 2:SUITE A
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19143-3302
Practice Address - Country:US
Practice Address - Phone:215-764-8520
Practice Address - Fax:215-764-8521
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS-OO7190L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01286898Medicaid
PA725473H2BOtherMEDICARE ID
PA725473H2BOtherMEDICARE ID