Provider Demographics
NPI:1912058116
Name:CURTIN, STEPHEN (DO)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:CURTIN
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 1:63 ELM ST STE A
Mailing Address - Street 2:
Mailing Address - City:TOPSHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04086-1424
Mailing Address - Country:US
Mailing Address - Phone:207-373-0400
Mailing Address - Fax:207-725-5048
Practice Address - Street 1:63 ELM ST STE A
Practice Address - Street 2:
Practice Address - City:TOPSHAM
Practice Address - State:ME
Practice Address - Zip Code:04086-1424
Practice Address - Country:US
Practice Address - Phone:207-373-0400
Practice Address - Fax:207-725-5048
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME1401207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME005175OtherANTHEM
ME005175OtherANTHEM
MEF30058Medicare UPIN