Basic Information
| Provider Information | |||||||||
| NPI: | 1407059942 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SILPASUVAN | ||||||||
| FirstName: | DOLLIE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 604 S WASHINGTON SQ APT 2211 | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191064127 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2024874491 | ||||||||
| FaxNumber: | 8773028050 | ||||||||
| Practice Location | |||||||||
| Address1: | RED LION AND KNIGHTS ROADS | ||||||||
| Address2: | FRANKFORD HOSPITALS | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19114 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2156124000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | MD431804 | PA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.