Provider Demographics
NPI:1629463070
Name:SILVERBERG, ARNOLD JUSTIN (MD (AS OF 5/8/15))
Entity Type:Individual
Prefix:
First Name:ARNOLD
Middle Name:JUSTIN
Last Name:SILVERBERG
Suffix:
Gender:M
Credentials:MD (AS OF 5/8/15)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:581 LEROY GEORGE DR STE 300
Mailing Address - Street 2:
Mailing Address - City:CLYDE
Mailing Address - State:NC
Mailing Address - Zip Code:28721-8085
Mailing Address - Country:US
Mailing Address - Phone:828-452-4131
Mailing Address - Fax:828-452-4095
Practice Address - Street 1:581 LEROY GEORGE DR STE 300
Practice Address - Street 2:
Practice Address - City:CLYDE
Practice Address - State:NC
Practice Address - Zip Code:28721-8085
Practice Address - Country:US
Practice Address - Phone:828-452-4131
Practice Address - Fax:828-452-4095
Is Sole Proprietor?:No
Enumeration Date:2015-04-02
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME145310207X00000X
390200000X
NC2021-00371207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program