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Contact Information

STEFAN GRAVENSTEIN, MD
593 EDDY ST
PROVIDENCE, RI02903
 Phone: 401-444-5248
 Fax: 401-444-3397
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for STEFAN GRAVENSTEIN · (Male)

NPI Number 1447224191
Status Active
Credentials MD
Entity Individual
Enumeration date 02/16/2006
Last updated 03/06/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • RI License # MD12353
  • RI Medicaid 1447224191
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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