Provider Demographics
NPI:1326026568
Name:SILVERSTEIN, STEPHEN (DO)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:
Last Name:SILVERSTEIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:729 EAST ATLANTIC BLVD
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060
Mailing Address - Country:US
Mailing Address - Phone:954-943-5044
Mailing Address - Fax:954-786-8502
Practice Address - Street 1:729 EAST ATLANTIC BLVD
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-2828
Practice Address - Country:US
Practice Address - Phone:954-943-5044
Practice Address - Fax:954-786-8502
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-06
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS2031207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL81641OtherBLUE CROSS BLUE SHIELD
FLP00335741OtherMEDICARE RAILROAD
FL81641OtherBLUE CROSS BLUE SHIELD
FL8164XMedicare PIN