Basic Information
Provider Information | |||||||||
NPI: | 1518168392 | ||||||||
EntityType: | 2 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: | L J SILBERMAN MD & ASSOC | ||||||||
LastName: |   | ||||||||
FirstName: |   | ||||||||
MiddleName: |   | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: |   | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 1220 LINCOLN WAY | ||||||||
Address2: | #201 | ||||||||
City: | WHITE OAK | ||||||||
State: | PA | ||||||||
PostalCode: | 15131 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 4126732200 | ||||||||
FaxNumber: | 4126733205 | ||||||||
Practice Location | |||||||||
Address1: | 1220 LINCOLN WAY | ||||||||
Address2: | #201 | ||||||||
City: | WHITE OAK | ||||||||
State: | PA | ||||||||
PostalCode: | 15131 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 4126732200 | ||||||||
FaxNumber: | 4126733205 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 05/30/2007 | ||||||||
LastUpdateDate: | 08/22/2020 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: |   | ||||||||
AuthorizedOfficialLastName: | SILBERMAN | ||||||||
AuthorizedOfficialFirstName: | LESLIE | ||||||||
AuthorizedOfficialMiddleName: | J | ||||||||
AuthorizedOfficialTitleorPosition: | MD MANAGER | ||||||||
AuthorizedOfficialTelephone: | 4126732200 | ||||||||
IsSoleProprietor: |   | ||||||||
IsOrganizationSubpart: | N | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: | MD | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | MD015721E | PA | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pediatrics |   |
No ID Information.