MEDICARE: DR. ROBERT SILVERBROOK D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	25MB05410100	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083665558
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT SILVERBROOK D.O.

Provider Business Mailing Address
First Line	:	3131 PRINCETON PIKE
Second Line	:	SUITE204
City	:	LAWRENCEVILLE
State	:	NJ
Zip	:	08648-2201
Country	:	US
Telephone Number	:	609-306-8924
Fax Number	:	215-364-3139

Provider Business Practice Location Address
First Line	:	3131 PRINCETON PIKE
Second Line	:	SUITE204
City	:	LAWRENCEVILLE
State	:	NJ
Zip	:	08648-2201
Country	:	US
Telephone Number	:	609-306-8924
Fax Number	:	215-364-3139

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	02/11/2015

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