Provider Demographics
NPI:1831176445
Name:DOBERSTEIN, CURTIS (MD)
Entity type:Individual
Prefix:
First Name:CURTIS
Middle Name:
Last Name:DOBERSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 DAVOL SQ
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4755
Mailing Address - Country:US
Mailing Address - Phone:401-621-8700
Mailing Address - Fax:401-621-8705
Practice Address - Street 1:1 DAVOL SQ
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4755
Practice Address - Country:US
Practice Address - Phone:401-621-8700
Practice Address - Fax:401-621-8705
Is Sole Proprietor?:No
Enumeration Date:2005-12-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMD08879207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
G01867Medicare UPIN