Curtis Black

Individual provider Active NPI General Practice Registered Nurse · Weston, MA

NPI 1508523804 · NPPES record last updated Nov 21, 2021

Key facts

NPI
1508523804
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Registered Nurse 163WG0000X
License
95195093 (CA)
Practice address
235 Wellesley St
Weston, MA 02493-1572
Phone
(781) 768-7000
NPI assigned
Nov 21, 2021
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
95195093CAMDGeneral Practice Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse
Group: 193400000X SINGLE SPECIALTY GROUP
163WG0000X 95195093 CA Yes

Addresses

Primary practice location

235 Wellesley St
Weston, MA 02493-1572

Mailing address

235 Wellesley St
Weston, MA 02493-1572

Other providers in Weston, MA

All providers in Weston, MA · General Practice Registered Nurse in Massachusetts

Sources for this page

Verify at the official NPI Registry.