Provider Demographics
NPI:1770765919
Name:ALLOY, CURTIS A (DO)
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:A
Last Name:ALLOY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:132 S 10TH ST
Mailing Address - Street 2:480 MAIN BUILDING
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5244
Mailing Address - Country:US
Mailing Address - Phone:215-955-8900
Mailing Address - Fax:215-955-5245
Practice Address - Street 1:1300 WOLF ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19148-2912
Practice Address - Country:US
Practice Address - Phone:215-955-8900
Practice Address - Fax:215-755-1850
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-29
Last Update Date:2012-06-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PALG005512L207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1001559Medicaid
PA1001559Medicaid