Provider Demographics
NPI:1407059942
Name:SILPASUVAN, DOLLIE (MD)
Entity Type:Individual
Prefix:DR
First Name:DOLLIE
Middle Name:
Last Name:SILPASUVAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 S WASHINGTON SQ APT 2211
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19106-4127
Mailing Address - Country:US
Mailing Address - Phone:202-487-4491
Mailing Address - Fax:877-302-8050
Practice Address - Street 1:RED LION AND KNIGHTS ROADS
Practice Address - Street 2:FRANKFORD HOSPITALS
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114
Practice Address - Country:US
Practice Address - Phone:215-612-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD431804207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology