Healthcare Provider Details

I. General information

NPI: 1164435731
Provider Name (Legal Business Name): KARIANNE STORTI SILVERMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 07/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 ASYLUM AVE SUITE 2118
HARTFORD CT
06105-1770
US

IV. Provider business mailing address

1000 ASYLUM AVE SUITE 2118
HARTFORD CT
06105-1719
US

V. Phone/Fax

Practice location:
  • Phone: 860-714-4440
  • Fax:
Mailing address:
  • Phone: 860-714-4440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number044475
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: