Basic Information
| Provider Information | |||||||||
| NPI: | 1225379837 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | H. ROBERT SILVERSTEIN MD FACC PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1000 ASYLUM AVE STE 2109 | ||||||||
| Address2: | |||||||||
| City: | HARTFORD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 061051719 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8605493444 | ||||||||
| FaxNumber: | 8605493569 | ||||||||
| Practice Location | |||||||||
| Address1: | 1000 ASYLUM AVE STE 2109 | ||||||||
| Address2: | |||||||||
| City: | HARTFORD | ||||||||
| State: | CT | ||||||||
| PostalCode: | 061051719 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8605493444 | ||||||||
| FaxNumber: | 8605493569 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/06/2013 | ||||||||
| LastUpdateDate: | 03/06/2013 | ||||||||
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| AuthorizedOfficialLastName: | SILVERSTEIN | ||||||||
| AuthorizedOfficialFirstName: | H. | ||||||||
| AuthorizedOfficialMiddleName: | ROBERT | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8605493444 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QH0100X | 015591 | CT | Y | Ambulatory Health Care Facilities | Clinic/Center | Health Service |
No ID Information.