Healthcare Provider Details

I. General information

NPI: 1053346569
Provider Name (Legal Business Name): ERNESTO ZILBERBERG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 09/03/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 TURNPIKE ST STE 115
NORTH ANDOVER MA
01845-5072
US

IV. Provider business mailing address

203 TURNPIKE ST STE 115
NORTH ANDOVER MA
01845-5072
US

V. Phone/Fax

Practice location:
  • Phone: 978-725-4800
  • Fax: 978-291-0215
Mailing address:
  • Phone: 978-725-4800
  • Fax: 978-291-0214

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number221846
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: