Healthcare Provider Details

I. General information

NPI: 1043538549
Provider Name (Legal Business Name): JEFFREY TULIN SILVER MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2010
Last Update Date: 06/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6330 ORCHARD LAKE RD SUITE 110
WEST BLOOMFIELD MI
48322-2398
US

IV. Provider business mailing address

6330 ORCHARD LAKE RD SUITE 110
WEST BLOOMFIELD MI
48322-2398
US

V. Phone/Fax

Practice location:
  • Phone: 248-932-0082
  • Fax:
Mailing address:
  • Phone: 248-932-0082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY TULIN-SILVER
Title or Position: PRESIDENT/PHYSICIAN
Credential: M.D.
Phone: 248-932-0082