Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | D0057152 | MD |
NPI | 1003885567 |
---|---|
Provider Name | Ari D Silver Isenstadt |
First Address | Baltimore, MD 21237-3936 |
Second Address | Baltimore, MD 21237-3936 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2006 |
Last Update Date | 29/02/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
75859901 | BLUE SHIELD (01) | MD |
H68860 | (02) |