Healthcare Provider Details

I. General information

NPI: 1225009574
Provider Name (Legal Business Name): ERIC H. KURZWEIL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8301 E PRENTICE AVE SUITE 405
GREENWOOD VILLAGE CO
80111-2903
US

IV. Provider business mailing address

2215 RED SKY ROAD
WOLCOTT CO
81655
US

V. Phone/Fax

Practice location:
  • Phone: 303-224-9136
  • Fax:
Mailing address:
  • Phone: 970-926-5052
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number25234
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: