MEDICARE: DR. GLEN H. SILAS M.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
1	207V00000X	Obstetrics & Gynecology Physician	0101222206	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0101222206	OTHER	VA	STATE LICENSE

General Provider Information

NPI Number	:	1083709281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GLEN H. SILAS M.D.

Provider Business Mailing Address
First Line	:	8110 MAPLE LAWN BLVD STE 235
Second Line	:
City	:	FULTON
State	:	MD
Zip	:	20759-2694
Country	:	US
Telephone Number	:	301-340-8339
Fax Number	:	301-340-9027

Provider Business Practice Location Address
First Line	:	600 GLEN AVE STE 104
Second Line	:
City	:	SALISBURY
State	:	MD
Zip	:	21804-5256
Country	:	US
Telephone Number	:	410-543-9111
Fax Number	:	410-543-9115

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	12/01/2023

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Directions to “ DR. GLEN H. SILAS M.D.” Practice Location

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