MEDICARE: SALVADOR SYLVESTER M.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	H0055927	MD

General Provider Information

NPI Number	:	1154478865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SALVADOR SYLVESTER M.D

Provider Business Mailing Address
First Line	:	2754 HAMBLETON RD
Second Line	:
City	:	RIVA
State	:	MD
Zip	:	21140-1135
Country	:	US
Telephone Number	:	301-785-6206
Fax Number	:	240-777-5132

Provider Business Practice Location Address
First Line	:	6201 GREENBELT RD STE M16
Second Line	:
City	:	BERWYN HEIGHTS
State	:	MD
Zip	:	20740-2333
Country	:	US
Telephone Number	:	301-441-4400
Fax Number	:	301-441-3008

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	07/08/2007

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