Provider Demographics
NPI:1477970945
Name:SILVERMAN, ADINA FRADKIN (MS, RD, LDN)
Entity Type:Individual
Prefix:
First Name:ADINA
Middle Name:FRADKIN
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:ADINA
Other - Middle Name:JO
Other - Last Name:FRADKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, LDN
Mailing Address - Street 1:8 RESERVOIR CIR STE 105
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-6362
Mailing Address - Country:US
Mailing Address - Phone:301-633-4850
Mailing Address - Fax:443-241-0215
Practice Address - Street 1:1831 FOREST DR
Practice Address - Street 2:SUITE H1
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-4430
Practice Address - Country:US
Practice Address - Phone:301-633-4850
Practice Address - Fax:443-241-0215
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-24
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX3309133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered