Healthcare Provider Details

I. General information

NPI: 1710941190
Provider Name (Legal Business Name): PHILIP SILVERMAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 MARKET ST
SADDLE BROOK NJ
07663
US

IV. Provider business mailing address

480 MARKET ST
SADDLE BROOK NJ
07663
US

V. Phone/Fax

Practice location:
  • Phone: 201-845-4048
  • Fax: 201-845-3982
Mailing address:
  • Phone: 201-845-4048
  • Fax: 201-845-3982

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMB27607
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: