Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | DS027698L | PA |
NPI | 1013130301 |
---|---|
Provider Name | Dr. Susan I. Silberg |
First Address | Wayne, PA 19087-2544 |
Second Address | Wayne, PA 19087-2544 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2007 |
Last Update Date | 08/07/2007 |