1245222793 NPI number — DR. DANIEL M SILVERBERG M.D.

Table of content: DR. DANIEL M SILVERBERG M.D. (NPI 1245222793)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245222793 NPI number — DR. DANIEL M SILVERBERG M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SILVERBERG
Provider First Name:
DANIEL
Provider Middle Name:
M
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245222793
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/02/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5018 MEDICAL CENTER CIRCLE
Provider Second Line Business Mailing Address:
SUITE 240
Provider Business Mailing Address City Name:
ALLENTOWN
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
18106-9661
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
484-876-5649
Provider Business Mailing Address Fax Number:
610-841-3914

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5018 MEDICAL CENTER CIRCLE
Provider Second Line Business Practice Location Address:
SUITE 240
Provider Business Practice Location Address City Name:
ALLENTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18106-9661
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
484-876-5649
Provider Business Practice Location Address Fax Number:
610-841-3914
Provider Enumeration Date:
08/19/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208800000X , with the licence number:  MD018100E , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 340006565 . This is a "PALMETTO GBA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 001482076 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 50075243 . This is a "CAPITAL BLUE CROSS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com