Provider Demographics
NPI:1043279607
Name:DR DAVID J SILVERSTEIN ASSOCIATES
Entity Type:Organization
Organization Name:DR DAVID J SILVERSTEIN ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLD
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:717-898-2356
Mailing Address - Street 1:2920 MARIETTA AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-2104
Mailing Address - Country:US
Mailing Address - Phone:717-898-2356
Mailing Address - Fax:717-898-3872
Practice Address - Street 1:2920 MARIETTA AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2104
Practice Address - Country:US
Practice Address - Phone:717-898-2356
Practice Address - Fax:717-898-3872
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA06778870101Medicaid
PA06778870101Medicaid