Provider Demographics
NPI:1306814728
Name:SILVERMAN, LEWIS BARRY (MD)
Entity Type:Individual
Prefix:
First Name:LEWIS
Middle Name:BARRY
Last Name:SILVERMAN
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 1:217 WOODWARD ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02468-2029
Mailing Address - Country:US
Mailing Address - Phone:617-244-7675
Mailing Address - Fax:
Practice Address - Street 1:44 BINNEY ST
Practice Address - Street 2:DANA FARBER CANCER INSTITUTE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6013
Practice Address - Country:US
Practice Address - Phone:617-632-5285
Practice Address - Fax:617-632-4811
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA79131208000000X, 2080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered208000000XAllopathic & Osteopathic PhysiciansPediatrics
Not Answered2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
079131OtherTUFTS
61039OtherFALLON COMMUNITY HEALTH
F81114DFOtherHPHC
000000029364OtherBMC HEALTHNET
MAJ30605OtherBLUE CROSS BLUE SHIELD
2938300OtherAETNA US HEALTHCARE
MA3128351Medicaid
3600106OtherUNITED HEALTH CARE
1595752OtherCIGNA
3600106OtherUNITED HEALTH CARE
J30605Medicare ID - Type Unspecified