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Individual

MARK T. CURTIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
132 S 10TH ST, SUITE 285K, PHILADELPHIA, PA 19107-5244
(215) 503-5642
(215) 503-4817
Mailing address
132 S 10TH ST, SUITE 385K, PHILADELPHIA, PA 19107-5244

Taxonomy

Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
MD046263L
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD046263L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001558657
PA
05
6778305
NJ
Enumeration date
08/03/2006
Last updated
08/26/2014
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