Healthcare Provider Details

I. General information

NPI: 1881664043
Provider Name (Legal Business Name): DIANE K SILVERMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2006
Last Update Date: 10/28/2020
Certification Date: 10/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1177 PROVIDENCE HIGHWAY - ROUTE 1
NORWOOD MA
02062
US

IV. Provider business mailing address

1177 PROVIDENCE HIGHWAY - ROUTE 1
NORWOOD MA
02062
US

V. Phone/Fax

Practice location:
  • Phone: 781-278-5590
  • Fax: 781-769-9017
Mailing address:
  • Phone: 781-278-5590
  • Fax: 781-769-9017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number81105
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: