Provider Demographics
NPI:1881664043
Name:SILVERMAN, DIANE K (MD)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:K
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1177 PROVIDENCE HIGHWAY - ROUTE 1
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062
Mailing Address - Country:US
Mailing Address - Phone:781-278-5590
Mailing Address - Fax:781-769-9017
Practice Address - Street 1:1177 PROVIDENCE HIGHWAY - ROUTE 1
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062
Practice Address - Country:US
Practice Address - Phone:781-278-5590
Practice Address - Fax:781-769-9017
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA81105208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAPP645OtherHARVARD PILGRIM
MA3179087Medicaid
MAJ18721OtherBLUE CROSS
MA0015168OtherNEIGHBORHOOD HEALTH
MA081105OtherTUFTS
MAA28671Medicare ID - Type Unspecified
MAPP645OtherHARVARD PILGRIM