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Stefan Gravenstein, MD
Geriatric Medicine (Family Medicine) Physician in Providence, Rhode Island
NPI 1447224191

Stefan Gravenstein is a Geriatric Medicine (Family Medicine) Physician based in Providence, RI and is specialized in Geriatric Medicine. Stefan Gravenstein practices in Providence, RI and has the professional credentials of MD. The NPI Number for Stefan Gravenstein is 1447224191 and holds a License No. 35.120371 (Rhode Island).

The current practice location address for Stefan Gravenstein is 593 Eddy St, Providence, RI and can be reached out via phone at 401-444-5248 and via fax at 401-444-3397. You can also correspond with Stefan Gravenstein through the mailing address at 110 ELM ST, PROVIDENCE, RI - 02903-4626 (mailing address contact number: ).

Location: 593 Eddy St, Providence, RI, 02903-4626
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447224191
Provider Name
Stefan Gravenstein
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
593 Eddy St, Providence, RI, 02903-4626
Phone Number
401-444-5248
Fax Number
401-444-3397
Provider Enumeration Date
02/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0075808 05 OH
institution
Provider Business Practice Location Address Details
Address
593 Eddy St
City
Providence
State
Rhode Island
Zip
02903
Phone Number
401-444-5248
Fax Number
401-444-3397
person
Provider Business Mailing Address Details
Address
593 Eddy St
City
Providence
State
Rhode Island
Zip
02903
Phone Number
401-444-5248
Fax Number
401-444-3397
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Geriatric Medicine
Taxonomy
207QG0300X
License No.
MD12353 (Rhode Island)
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 home, the office, long-term care settings such as nursing homes, and the hospital.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Geriatric Medicine
Taxonomy
207RG0300X
License No.
35.120371 (Ohio)
Definition
An internist who has 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 home, the office, long-term care settings such as nursing homes and the hospital.
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