MEDICARE: THE SILVERMAN WELLNESS GROUP

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	111N00000X	Chiropractor	003500L	PA

General Provider Information

NPI Number	:	1285834283
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE SILVERMAN WELLNESS GROUP

Provider Business Mailing Address
First Line	:	123 CHESTNUT ST STE 204
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106-3051
Country	:	US
Telephone Number	:	215-627-3782
Fax Number	:	215-627-3695

Provider Business Practice Location Address
First Line	:	123 CHESTNUT ST STE 204
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19106-3051
Country	:	US
Telephone Number	:	215-627-3782
Fax Number	:	215-627-3695

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. BARRY L SILVERMAN
Credential	:	D.C.
Telephone Number	:	215-627-3782

Provider Enumeration Date	:	07/19/2007
Last Update Date	:	07/19/2007

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