Provider Demographics
NPI:1114118742
Name:BURSTEIN, ADAM S (DO)
Entity Type:Individual
Prefix:DR
First Name:ADAM
Middle Name:S
Last Name:BURSTEIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1731 E 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1628
Mailing Address - Country:US
Mailing Address - Phone:720-245-1125
Mailing Address - Fax:720-941-4934
Practice Address - Street 1:1731 E 16TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1628
Practice Address - Country:US
Practice Address - Phone:720-245-1125
Practice Address - Fax:720-941-4934
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-08
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO480752084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry