Healthcare Provider Details

I. General information

NPI: 1952309858
Provider Name (Legal Business Name): NIRA R SILVERMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2005
Last Update Date: 08/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 WESTFIELD AVE
ANSONIA CT
06401-1158
US

IV. Provider business mailing address

22 WESTFIELD AVE
ANSONIA CT
06401-1158
US

V. Phone/Fax

Practice location:
  • Phone: 203-735-6144
  • Fax: 203-735-0633
Mailing address:
  • Phone: 203-735-6144
  • Fax: 203-735-0633

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number015389
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: