Provider Demographics
NPI:1861822124
Name:SILVERMAN, MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:SILVERMAN
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 1:95 BAYLY ST W#200
Mailing Address - Street 2:
Mailing Address - City:AJAX
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:L1S7K8
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:95 BAYLY ST W#200
Practice Address - Street 2:
Practice Address - City:AJAX
Practice Address - State:ONTARIO
Practice Address - Zip Code:L1S7K8
Practice Address - Country:CA
Practice Address - Phone:905-686-3900
Practice Address - Fax:905-686-9222
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-22
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2963577207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease