Healthcare Provider Details

I. General information

NPI: 1699770412
Provider Name (Legal Business Name): MICHAEL SLOAN SILVERBERG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2005
Last Update Date: 08/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

59 OLD ROUTE 22 THE DOCTOR IS IN, PA
CLINTON NJ
08809
US

IV. Provider business mailing address

149M HIGHWAY 31 THE DOCTOR IS IN, PA
FLEMINGTON NJ
08822
US

V. Phone/Fax

Practice location:
  • Phone: 908-730-6363
  • Fax: 908-730-8185
Mailing address:
  • Phone: 908-782-7700
  • Fax: 908-782-3644

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MA06667600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: