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Contact Information

DONALD R COUSTAN, MD
101 DUDLEY ST
PROVIDENCE, RI02905-2401
 Phone: 401-274-1122
 Fax: 401-453-7599
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for DONALD R COUSTAN · (Male)

NPI Number 1215911367
Status Active
Credentials MD
Entity Individual
Enumeration date 12/02/2005
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 Not specified
Identifiers
  • RI License # 6028
  • RI Medicaid 7003805
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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