Provider Demographics
NPI:1144566696
Name:SILVERMAN, CAROLYN (RD, CDE)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:RD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 AVENUE B
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-1923
Mailing Address - Country:US
Mailing Address - Phone:201-563-2715
Mailing Address - Fax:201-437-7005
Practice Address - Street 1:24 AVENUE B
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-1923
Practice Address - Country:US
Practice Address - Phone:201-563-2715
Practice Address - Fax:201-437-7005
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ724878133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered