Provider Demographics
NPI:1366489981
Name:SILVERMAN, SCOTT J (DC)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:J
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6813 TORRESDALE AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19135-2313
Mailing Address - Country:US
Mailing Address - Phone:215-708-8887
Mailing Address - Fax:215-708-1088
Practice Address - Street 1:6813 TORRESDALE AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19135-2313
Practice Address - Country:US
Practice Address - Phone:215-708-8887
Practice Address - Fax:215-708-1088
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006586L111N00000X, 111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
No111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASI883436Medicare UPIN