Provider Demographics
NPI:1033287875
Name:SILVERMAN, STEVEN C (LIC AC)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:C
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:LIC AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 ELSWORTH RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02465-1122
Mailing Address - Country:US
Mailing Address - Phone:617-244-1477
Mailing Address - Fax:
Practice Address - Street 1:ACUPUNCTURE AND HERBS OF LEXINGTON
Practice Address - Street 2:1077 LEXINGTON STREET - #203
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02452
Practice Address - Country:US
Practice Address - Phone:617-244-1477
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA684171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist