Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MA05161300 | NJ |
NPI | 1043378292 |
---|---|
Provider Name | Dr. Mitchell S Silverman |
First Address | Union, NJ 07083-5714 |
Second Address | Union, NJ 07083-5714 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2006 |
Last Update Date | 23/10/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1042700 | (05) | NJ |
E13179 | (02) | NJ |