MEDICARE: DR. KAREN ANN SILLER MD

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	151709	MA

General Provider Information

NPI Number	:	1164413779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN ANN SILLER MD

Provider Business Mailing Address
First Line	:	640 CENTRE ST
Second Line	:	DEPT OF INTERNAL MEDICINE
City	:	JAMAICA PLAIN
State	:	MA
Zip	:	02130-2555
Country	:	US
Telephone Number	:	617-983-4100
Fax Number	:

Provider Business Practice Location Address
First Line	:	640 CENTRE ST
Second Line	:	DEPT OF INTERNAL MEDICINE
City	:	JAMAICA PLAIN
State	:	MA
Zip	:	02130-2555
Country	:	US
Telephone Number	:	617-983-4100
Fax Number	:

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

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	07/05/2012

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