MEDICARE: PHILLIP SILVERSTEIN 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	207P00000X	Emergency Medicine Physician	C53038	CA

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	:	1699729996
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILLIP SILVERSTEIN MD

Provider Business Mailing Address
First Line	:	940 14TH ST
Second Line	:
City	:	PACIFIC GROVE
State	:	CA
Zip	:	93950-4902
Country	:	US
Telephone Number	:	610-331-7963
Fax Number	:

Provider Business Practice Location Address
First Line	:	520 I ST
Second Line	:
City	:	LOS BANOS
State	:	CA
Zip	:	93635-4211
Country	:	US
Telephone Number	:	209-826-0591
Fax Number	:

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

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	03/11/2011

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Directions to “ PHILLIP SILVERSTEIN MD” Practice Location

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