Provider Demographics
NPI:1740600998
Name:SILVERSTEIN, DAVID S
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:S
Last Name:SILVERSTEIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 JUNIPER ST NE UNIT 801
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-4135
Mailing Address - Country:US
Mailing Address - Phone:678-464-0426
Mailing Address - Fax:
Practice Address - Street 1:905 JUNIPER ST NE UNIT 801
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-4135
Practice Address - Country:US
Practice Address - Phone:678-464-0426
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-25
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05126000202C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes202C00000XAllopathic & Osteopathic PhysiciansIndependent Medical Examiner