Healthcare Provider Details
I. General information
NPI: 1801038468
Provider Name (Legal Business Name): AMY MARA SILVERBERG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/28/2009
Last Update Date: 11/11/2020
Certification Date: 11/11/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1400 JACKSON ST NATIONAL JEWISH HEALTH
DENVER CO
80206-2761
US
IV. Provider business mailing address
1400 JACKSON ST NATIONAL JEWISH HEALTH
DENVER CO
80206-2761
US
V. Phone/Fax
- Phone: 303-388-4461
- Fax: 303-270-2206
- Phone: 303-388-4461
- Fax: 303-398-1211
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208M00000X |
| Taxonomy | Hospitalist Physician |
| License Number | DR.0050975 |
| License Number State | CO |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 50975 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: