Healthcare Provider Details

I. General information

NPI: 1114504149
Provider Name (Legal Business Name): ISABELLA GLORIA SILVESTRE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 SUMMER ST STE 150S
WORCESTER MA
01608-1216
US

IV. Provider business mailing address

5 NEPONSET ST
WORCESTER MA
01606-2714
US

V. Phone/Fax

Practice location:
  • Phone: 508-368-3110
  • Fax: 508-368-3113
Mailing address:
  • Phone: 508-368-3110
  • Fax: 508-368-3113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number1023380
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: