Healthcare Provider Details

I. General information

NPI: 1588683635
Provider Name (Legal Business Name): SETH J SILBERMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 12/15/2020
Certification Date: 12/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 ROUTE 33 SUITE 101
NEPTUNE NJ
07753-0775
US

IV. Provider business mailing address

3700 ROUTE 33 SUITE 101
NEPTUNE NJ
07753-0378
US

V. Phone/Fax

Practice location:
  • Phone: 732-280-7855
  • Fax: 732-280-7815
Mailing address:
  • Phone: 732-280-7855
  • Fax: 732-280-7815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number25MA05304700
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number35066861
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License Number25MA05304700
License Number StateNJ
# 4
Primary TaxonomyN
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License Number35066861
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: