Provider Demographics
NPI:1336287739
Name:SILVERMAN, MORTON (MD)
Entity Type:Individual
Prefix:DR
First Name:MORTON
Middle Name:
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 1:1418 MALCOLM DR
Mailing Address - Street 2:
Mailing Address - City:DRESHER
Mailing Address - State:PA
Mailing Address - Zip Code:19025-1622
Mailing Address - Country:US
Mailing Address - Phone:215-290-1437
Mailing Address - Fax:610-353-5963
Practice Address - Street 1:419 LAWRENCE RD
Practice Address - Street 2:
Practice Address - City:BROOMALL
Practice Address - State:PA
Practice Address - Zip Code:19008-3748
Practice Address - Country:US
Practice Address - Phone:610-353-2800
Practice Address - Fax:610-353-5963
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD015394E208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
C29412Medicare UPIN