Healthcare Provider Details

I. General information

NPI: 1659484251
Provider Name (Legal Business Name): PETER SILVERSTEIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 04/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

163 LIBBEY INDUSTRIAL PKWY SUITE 301
WEYMOUTH MA
02189-3137
US

IV. Provider business mailing address

163 LIBBEY INDUSTRIAL PKWY SUITE 301
WEYMOUTH MA
02189-3137
US

V. Phone/Fax

Practice location:
  • Phone: 781-337-4224
  • Fax: 781-335-0429
Mailing address:
  • Phone: 781-337-4224
  • Fax: 781-335-0429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number36159
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: