Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 22385 | NC |
NPI | 1225037195 |
---|---|
Provider Name | Dr. Edward J Silvoy |
First Address | Gastonia, NC 28054-7488 |
Second Address | Gastonia, NC 28054-7488 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C81042 | (02) | NC |