MEDICARE: DR. JOHN M DASILVA 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	208600000X	Surgery Physician	027296	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0528373	OTHER	CT	AETNA
2	010027296CT03	OTHER	CT	ANTHEM BLUE CROSS
3	0P0272	OTHER	CT	HEALTH NET
4	0528373	OTHER	CT	US HEALTHCARE
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	01027296	OTHER	CT	CIGNA
7	060886963	OTHER	CT	UNITED HEALTHCARE
8	00127296200	OTHER	CT	BLUE CARE FAMILY PLAN
9	786963	OTHER	CT	CONNECTICARE
10	HAS500	OTHER	CT	OXFORD

General Provider Information

NPI Number	:	1568475051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN M DASILVA M.D.

Provider Business Mailing Address
First Line	:	300 HEBRON AVE STE 211
Second Line	:
City	:	GLASTONBURY
State	:	CT
Zip	:	06033-2192
Country	:	US
Telephone Number	:	860-522-1024
Fax Number	:	860-278-4613

Provider Business Practice Location Address
First Line	:	300 HEBRON AVE STE 211
Second Line	:
City	:	GLASTONBURY
State	:	CT
Zip	:	06033-2192
Country	:	US
Telephone Number	:	860-522-1024
Fax Number	:	860-278-4613

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

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	03/08/2021

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