MEDICARE: DR. ANTHONY NATHANAEL SILVETTI 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	207Q00000X	Family Medicine Physician	036096280	IL
2	207V00000X	Obstetrics & Gynecology Physician	036096280	IL
3	207V00000X	Obstetrics & Gynecology Physician	MD61524563	WA

General Provider Information

NPI Number	:	1790757177
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY NATHANAEL SILVETTI M.D.

Provider Business Mailing Address
First Line	:	1867 W BEACH RD
Second Line	:
City	:	OAK HARBOR
State	:	WA
Zip	:	98277-8588
Country	:	US
Telephone Number	:	360-720-5876
Fax Number	:

Provider Business Practice Location Address
First Line	:	4465 CORDATA PKWY STE 102
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98226-8037
Country	:	US
Telephone Number	:	360-752-5280
Fax Number	:	360-752-5282

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

Provider Enumeration Date	:	02/01/2006
Last Update Date	:	10/09/2024

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