Individual
DR. BRUCE I KILSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
207 QUAKER LANE, WEST WARWICK, RI 02893
(401) 828-7110
(401) 827-6364
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS, FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
DO00640
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5079481
AETNA
RI
01
—
6562991
CIGNA
FL
01
—
AA336911
HARVARD PILGRIM
RI
05
—
BK95604
—
RI
01
—
P01277535
RAILROAD MCR
RI
01
—
P01281046
RAILROAD MCR
RI
Enumeration date
08/02/2006
Last updated
07/10/2014
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