Provider Demographics
NPI:1881798940
Name:CURTIS, ELIZABETH T (MD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:T
Last Name:CURTIS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:867 TURNPIKE STREET
Mailing Address - Street 2:
Mailing Address - City:N ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845
Mailing Address - Country:US
Mailing Address - Phone:978-682-0955
Mailing Address - Fax:978-682-0916
Practice Address - Street 1:867 TURNPIKE STREET
Practice Address - Street 2:
Practice Address - City:N ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845
Practice Address - Country:US
Practice Address - Phone:978-682-0955
Practice Address - Fax:978-682-0916
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-11
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA58211207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ06579OtherBLUE CROSS
MA3039137Medicaid
MA712298OtherTUFTS
MAJ06579OtherBLUE CROSS
MAJ06579Medicare ID - Type Unspecified