MEDICARE: DR. ERIC HOWARD SILVERSTEIN 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	207VG0400X	Gynecology Physician	36728	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8415792190001	OTHER	CO	ROCKY MOUNTAIN UFCW
2	84157921901	OTHER	CO	PACIFICARE
3	SI634738	OTHER	CO	BC/BS

General Provider Information

NPI Number	:	1801891924
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ERIC HOWARD SILVERSTEIN M.D.

Provider Business Mailing Address
First Line	:	6160 TUTT BLVD
Second Line	:	SUITE 210
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80922-3568
Country	:	US
Telephone Number	:	719-636-0080
Fax Number	:	719-636-3030

Provider Business Practice Location Address
First Line	:	6160 TUTT BLVD
Second Line	:	SUITE 210
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80922-3568
Country	:	US
Telephone Number	:	719-636-0080
Fax Number	:	719-636-3030

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

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	07/08/2007

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