Stefan Gravenstein in Providence - Geriatric Medicine
Stefan Gravenstein - NPI 1447224191
Stefan Gravenstein is a Geriatric Medicine in Providence, Rhode Island. Stefan Gravenstein practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Stefan Gravenstein is 1447224191. The last update date is 2019-11-25.
Stefan Gravenstein's current location address is 593 Eddy St, Providence, Rhode Island. You can contact this provider via phone number 4014445248 and fax number 4014443397. The mailing address for Stefan Gravenstein is 593 Eddy St, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stefan Gravenstein |
|---|---|
| Address | 593 Eddy St, Providence, Rhode Island |
| Phone Number | 4014445248 |
| Fax Number | 4014443397 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1447224191 |
|---|---|
| Provider Enumeration Date | 2006-02-16 |
| Last Updated Date | 2019-11-25 |
Provider Mailing Address Detail
| Address | 593 Eddy St |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 2903 |
| Phone Number | 4014445248 |
| Fax Number | 4014443397 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Qg0300X |
| Licence No | MD12353 |
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Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 75808 | OH | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Stefan Gravenstein?
The Stefan Gravenstein has been issued the NPI (National Provider Identifier) 1447224191 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Stefan Gravenstein is physically located?
The Stefan Gravenstein is situated at the following address: 593 Eddy St, Providence, RI 2903.
What is Stefan Gravenstein's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stefan Gravenstein is Geriatric Medicine, and the taxonomy code that categorizes this field of expertise is 207Qg0300X.
When did Stefan Gravenstein receive its 1447224191 assignment?
The Stefan Gravenstein was assigned its 1447224191 on 2006-02-16, which is the date when this unique identifier was issued to the organization.
When was the information related to Stefan Gravenstein most recently updated or refreshed?
The details pertaining to the Stefan Gravenstein, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-11-25.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY