Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 25MA09598200 | NJ |
N | 2084N0600X | Clinical Neurophysiologist | 25MA09598200 | NJ |
NPI | 1427223791 |
---|---|
Provider Name | Dr. Diosely Silveira |
First Address | Edison, NJ 08818-3947 |
Second Address | Edison, NJ 08818-3947 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2008 |
Last Update Date | 02/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0447421 | (05) | NJ |
200675810A | (05) | KS |