Healthcare Provider Details

I. General information

NPI: 1720035660
Provider Name (Legal Business Name): JANET JOY SILBERGELD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 02/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

533 S 336TH ST SUITE C
FEDERAL WAY WA
98003-6329
US

IV. Provider business mailing address

533 S 336TH ST SUITE C
FEDERAL WAY WA
98003-6329
US

V. Phone/Fax

Practice location:
  • Phone: 253-661-1700
  • Fax: 253-661-4565
Mailing address:
  • Phone: 253-661-1700
  • Fax: 253-661-4565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD0029009
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: