Individual
TODD BORENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 DUDLEY ST, SUITE 200, PROVIDENCE, RI 02905-3236
(401) 444-3581
(401) 444-3609
Mailing address
PO BOX 1119, PROVIDENCE, RI 02901-1119
(401) 444-3581
(401) 444-3609
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
14919
RI
207X00000X
Orthopaedic Surgery Physician
LP02015
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881914653
—
RI
Enumeration date
06/03/2010
Last updated
09/16/2015
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