Healthcare Provider Details

I. General information

NPI: 1629168042
Provider Name (Legal Business Name): TERRI DAVIDSON SILVER M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TERRI J HALPERIN M.D.

II. Dates (important events)

Enumeration Date: 10/14/2006
Last Update Date: 11/04/2020
Certification Date: 11/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MOUNT AUBURN ST STE 313
CAMBRIDGE MA
02138-5665
US

IV. Provider business mailing address

300 MOUNT AUBURN ST STE 313
CAMBRIDGE MA
02138-5665
US

V. Phone/Fax

Practice location:
  • Phone: 617-349-2983
  • Fax: 617-576-6422
Mailing address:
  • Phone: 617-349-2983
  • Fax: 617-576-6422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number230616
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: