Provider Demographics
NPI:1437130689
Name:SILVER, JULIE KATHLEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIE
Middle Name:KATHLEEN
Last Name:SILVER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-724-0287
Mailing Address - Fax:617-726-2894
Practice Address - Street 1:570 WORCESTER RD
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-5311
Practice Address - Country:US
Practice Address - Phone:508-872-2200
Practice Address - Fax:508-872-1205
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA80939208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3142337Medicaid
MAJ31572OtherBCBS MA
MA080939OtherTUFTS HEALTH PLAN
G16989Medicare UPIN
MAA20259Medicare ID - Type Unspecified