Provider Demographics
NPI:1568412872
Name:DA SILVA, MONICA S (MD)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:S
Last Name:DA SILVA
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 1:200 MILL RD
Mailing Address - Street 2:
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5252
Mailing Address - Country:US
Mailing Address - Phone:508-973-2000
Mailing Address - Fax:508-973-2001
Practice Address - Street 1:235 HANOVER ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-5246
Practice Address - Country:US
Practice Address - Phone:508-973-1021
Practice Address - Fax:508-973-1025
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA234195208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
2497779OtherCIGNA
AA124233OtherHARVARD PILGRIM HEALTH CARE
MA2159392Medicaid
MAJ43775OtherMASS BLUE SHIELD
RIMD73598Medicaid
7010706OtherAETNA
046751OtherTUFTS
2497779OtherCIGNA
046751OtherTUFTS