Provider Demographics
NPI:1083710123
Name:SILBER, DANUTA (MD PHD)
Entity Type:Individual
Prefix:
First Name:DANUTA
Middle Name:
Last Name:SILBER
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:740 KENNEDY BLVD
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002
Mailing Address - Country:US
Mailing Address - Phone:201-858-0848
Mailing Address - Fax:201-858-1106
Practice Address - Street 1:740 KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002
Practice Address - Country:US
Practice Address - Phone:201-858-0848
Practice Address - Fax:201-858-1106
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2008-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA44581207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
EP224OtherOXFORD
222823016OtherNEW JERSEY BLUE CROSS
21F611OtherWELLCHOICE
0030184OtherGHI
0101531000OtherAMERIHEALTH
NJ0499200Medicaid
502140OtherAETNA
OK7643OtherHEALTHNET
8194607OtherCIGNA
443291Medicare ID - Type Unspecified
NJ0499200Medicaid