Provider Demographics
NPI:1447205166
Name:SILVERBERG, ERIC MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:MICHAEL
Last Name:SILVERBERG
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 1:289 ROUTE 33
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-8364
Mailing Address - Country:US
Mailing Address - Phone:732-567-7786
Mailing Address - Fax:732-786-1807
Practice Address - Street 1:289 ROUTE 33
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-8364
Practice Address - Country:US
Practice Address - Phone:732-567-7786
Practice Address - Fax:732-786-1807
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC05429111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU67039Medicare UPIN