Provider Demographics
NPI:1225009574
Name:KURZWEIL, ERIC H (MD)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:H
Last Name:KURZWEIL
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 1:2215 RED SKY ROAD
Mailing Address - Street 2:
Mailing Address - City:WOLCOTT
Mailing Address - State:CO
Mailing Address - Zip Code:81655
Mailing Address - Country:US
Mailing Address - Phone:970-926-5052
Mailing Address - Fax:
Practice Address - Street 1:8301 E PRENTICE AVE
Practice Address - Street 2:SUITE 405
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2903
Practice Address - Country:US
Practice Address - Phone:303-224-9136
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO252342080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01252345Medicaid
E21619Medicare UPIN