Healthcare Provider Details

I. General information

NPI: 1548529282
Provider Name (Legal Business Name): FRANCISCO SILVA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2012
Last Update Date: 01/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33 OVERLOOK RD SUITE 101
SUMMIT NJ
07901-3570
US

IV. Provider business mailing address

5 CENTER AVE APT 7
MORRISTOWN NJ
07960-5091
US

V. Phone/Fax

Practice location:
  • Phone: 908-273-1112
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number25MA09078500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: