Healthcare Provider Details

I. General information

NPI: 1063689735
Provider Name (Legal Business Name): SARA B SILVESTRI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2008
Last Update Date: 08/30/2024
Certification Date: 08/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 THOMPSON AVE
MC KEES ROCKS PA
15136-3808
US

IV. Provider business mailing address

710 THOMPSON AVE
MC KEES ROCKS PA
15136-3808
US

V. Phone/Fax

Practice location:
  • Phone: 412-771-6462
  • Fax: 412-444-0361
Mailing address:
  • Phone: 412-771-6462
  • Fax: 412-444-0361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD434090
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: