Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | G069186 | CA |
NPI | 1215992094 |
---|---|
Provider Name | Judy Lynn Silverman |
First Address | San Francisco, CA 94117-1016 |
Second Address | San Francisco, CA 94117-1016 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G601860 | (05) | CA |
75189 | (02) | CA |