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NPI Code Detail

MEDICARE: DR. JOEL A. SILBERT O.D.

MEDICARE:  DR. JOEL A. SILBERT  O.D.
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
1152W00000XOptometrist27OA00341900NJ
2152W00000XOptometrist27TO00036200NJ
3152W00000XOptometristOEG000987PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000541891OTHERHIGHMARK BLUE SHIELD

General Provider Information

NPI Number : 1083686935
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOEL A. SILBERT O.D.
Provider Business Mailing Address
First Line : 307 GLASSBORO RD
Second Line :
City : WOODBURY HEIGHTS
State : NJ
Zip : 08097-1018
Country : US
Telephone Number : 856-848-5388
Fax Number : 856-848-8442
Provider Business Practice Location Address
First Line : 307 GLASSBORO RD
Second Line :
City : WOODBURY HEIGHTS
State : NJ
Zip : 08097-1018
Country : US
Telephone Number : 856-848-5388
Fax Number : 856-848-8442
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2006
Last Update Date : 11/05/2008

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