Provider Demographics
NPI:1124215298
Name:SILVERSTEIN, MARTIN B (MD)
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:B
Last Name:SILVERSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 STATE STREET
Mailing Address - Street 2:BOSTON CONSULTING GROUP EXCHANGE PLACE
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02109
Mailing Address - Country:US
Mailing Address - Phone:617-973-1267
Mailing Address - Fax:
Practice Address - Street 1:53 STATE STREET
Practice Address - Street 2:BOSTON CONSULTING GROUP EXCHANGE PLACE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02109
Practice Address - Country:US
Practice Address - Phone:617-973-1267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-02
Last Update Date:2007-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA50983207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine