MEDICARE: RISA SILVERSTEIN

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	171100000X	Acupuncturist	25MZ00029600	NJ

General Provider Information

NPI Number	:	1518110253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RISA SILVERSTEIN

Provider Business Mailing Address
First Line	:	615 MOUNTAIN BLVD
Second Line	:
City	:	WATCHUNG
State	:	NJ
Zip	:	07069-6247
Country	:	US
Telephone Number	:	973-715-0328
Fax Number	:	908-754-6300

Provider Business Practice Location Address
First Line	:	615 MOUNTAIN BLVD
Second Line	:
City	:	WATCHUNG
State	:	NJ
Zip	:	07069-6247
Country	:	US
Telephone Number	:	973-715-0328
Fax Number	:	908-754-6300

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

Provider Enumeration Date	:	10/28/2008
Last Update Date	:	10/28/2008

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Directions to “ RISA SILVERSTEIN ” Practice Location

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