Provider Demographics
NPI:1356503569
Name:SILBER, GERSHON (MD)
Entity Type:Individual
Prefix:
First Name:GERSHON
Middle Name:
Last Name:SILBER
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 1:6606 ROSE LN
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:VA
Mailing Address - Zip Code:24141-8570
Mailing Address - Country:US
Mailing Address - Phone:773-682-5326
Mailing Address - Fax:
Practice Address - Street 1:6606 ROSE LN
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:VA
Practice Address - Zip Code:24141-8570
Practice Address - Country:US
Practice Address - Phone:773-682-5326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-29
Last Update Date:2008-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010350092084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry