Provider Demographics
NPI:1225037195
Name:SILVOY, EDWARD J (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:J
Last Name:SILVOY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1010 X RAY DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-7488
Mailing Address - Country:US
Mailing Address - Phone:704-865-7677
Mailing Address - Fax:704-865-0756
Practice Address - Street 1:1010 X RAY DR
Practice Address - Street 2:SUITE A
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-7488
Practice Address - Country:US
Practice Address - Phone:704-865-7677
Practice Address - Fax:704-865-0756
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-21
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NC22385207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC81042Medicare UPIN