Healthcare Provider Details
I. General information
NPI: 1760441752
Provider Name (Legal Business Name): ALAN L SILVERBERG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/20/2006
Last Update Date: 06/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
599 W STATE ST STE 205
DOYLESTOWN PA
18901-2567
US
IV. Provider business mailing address
PO BOX 829641
PHILADELPHIA PA
19182-0001
US
V. Phone/Fax
- Phone: 267-880-6975
- Fax: 267-880-6981
- Phone: 267-370-5296
- Fax: 215-230-3725
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RI0200X |
| Taxonomy | Infectious Disease Physician |
| License Number | MD029551E |
| License Number State | PA |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: