Healthcare Provider Details

I. General information

NPI: 1184760563
Provider Name (Legal Business Name): ADAM DAVID SILVERMAN DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9110 PHILADELPHIA RD SUITE 304
BALTIMORE MD
21237-4301
US

IV. Provider business mailing address

9110 PHILADELPHIA RD SUITE 304
BALTIMORE MD
21237-4301
US

V. Phone/Fax

Practice location:
  • Phone: 410-686-5061
  • Fax: 410-686-5069
Mailing address:
  • Phone: 410-686-5061
  • Fax: 410-686-5069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number01446
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: