Healthcare Provider Details

I. General information

NPI: 1932379187
Provider Name (Legal Business Name): SILVERMAN PODIATRY, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2008
Last Update Date: 03/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9110 PHILADELPHIA RD STE 304
BALTIMORE MD
21237-4327
US

IV. Provider business mailing address

9110 PHILADELPHIA RD STE 304
BALTIMORE MD
21237-4327
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 Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number00438
License Number StateMD

VIII. Authorized Official

Name: DR. RONALD L. SILVERMAN
Title or Position: PRES.
Credential: D.P.M.
Phone: 410-686-5061