Provider Demographics
NPI:1568408151
Name:SILVERSTEIN, JOEL W (MD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:W
Last Name:SILVERSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:530 WASHINGTON HWY
Mailing Address - Street 2:SUITE 5
Mailing Address - City:MORRISVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05661-8973
Mailing Address - Country:US
Mailing Address - Phone:802-888-3111
Mailing Address - Fax:802-888-8110
Practice Address - Street 1:530 WASHINGTON HWY
Practice Address - Street 2:SUITE 5
Practice Address - City:MORRISVILLE
Practice Address - State:VT
Practice Address - Zip Code:05661-8973
Practice Address - Country:US
Practice Address - Phone:802-888-3111
Practice Address - Fax:802-888-8110
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-21
Last Update Date:2019-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT042-0005309207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT0004576Medicaid
VT0004576Medicaid
VT4576Medicare ID - Type Unspecified