Healthcare Provider Details

I. General information

NPI: 1881223402
Provider Name (Legal Business Name): JACOB A SILVER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2020
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 LAKE ST
NEW BRITAIN CT
06052-1396
US

IV. Provider business mailing address

1 LAKE ST
NEW BRITAIN CT
06052-1396
US

V. Phone/Fax

Practice location:
  • Phone: 860-832-4666
  • Fax:
Mailing address:
  • Phone: 860-832-4666
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number83604
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: