=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407059942
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DOLLIE SILPASUVAN M.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/11/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | RED LION AND KNIGHTS ROADS FRANKFORD HOSPITALS
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19114
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 215-612-4000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 604 S WASHINGTON SQ APT 2211
-----------------------------------------------------
City | PHILADELPHIA
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19106-4127
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 202-487-4491
-----------------------------------------------------
Fax | 877-302-8050
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207L00000X
-----------------------------------------------------
Taxonomy Name | Anesthesiology Physician
-----------------------------------------------------
License Number | MD431804
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------