Provider Demographics
NPI:1629656004
Name:SILVERMAN, MARISSA ROSE (MSPH)
Entity Type:Individual
Prefix:
First Name:MARISSA
Middle Name:ROSE
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:MSPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1114 ORTEGA ST APT 3
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-4560
Mailing Address - Country:US
Mailing Address - Phone:310-804-2465
Mailing Address - Fax:
Practice Address - Street 1:1114 ORTEGA ST APT 3
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-4560
Practice Address - Country:US
Practice Address - Phone:310-804-2465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-29
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program