Healthcare Provider Details

I. General information

NPI: 1083710123
Provider Name (Legal Business Name): DANUTA SILBER MD PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 12/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 KENNEDY BLVD
BAYONNE NJ
07002
US

IV. Provider business mailing address

740 KENNEDY BLVD
BAYONNE NJ
07002
US

V. Phone/Fax

Practice location:
  • Phone: 201-858-0848
  • Fax: 201-858-1106
Mailing address:
  • Phone: 201-858-0848
  • Fax: 201-858-1106

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberMA44581
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: