Individual
MR. CURTIS W MCINTIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13 DAVE'S DR., FAIRTON, NJ 08302
(856) 362-9074
Mailing address
PO BOX 1260, BRIDGETON, NJ 08302-0890
(856) 362-9074
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CO
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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