MEDICARE: RICHARD T SILVERMAN 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	208200000X	Plastic Surgery Physician	76050	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	6361978004	OTHER	MA	CIGNA
2	4485114	OTHER	MA	AETNA
3	J12717	OTHER	MA	BCBS
4	076050	OTHER	MA	TUFTS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720019938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD T SILVERMAN MD

Provider Business Mailing Address
First Line	:	29 CRAFTS ST
Second Line	:	SUITE 370
City	:	NEWTON
State	:	MA
Zip	:	02458-1275
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	29 CRAFTS ST
Second Line	:	SUITE 370
City	:	NEWTON
State	:	MA
Zip	:	02458-1275
Country	:	US
Telephone Number	:	617-965-9500
Fax Number	:

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

Provider Enumeration Date	:	07/05/2006
Last Update Date	:	07/09/2007

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