Provider Demographics
NPI:1922055201
Name:SILVERBERG, FRED M (MD)
Entity Type:Individual
Prefix:
First Name:FRED
Middle Name:M
Last Name:SILVERBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:33 MAIN ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928-2433
Mailing Address - Country:US
Mailing Address - Phone:973-635-2299
Mailing Address - Fax:973-635-8187
Practice Address - Street 1:33 MAIN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:CHATHAM
Practice Address - State:NJ
Practice Address - Zip Code:07928-2433
Practice Address - Country:US
Practice Address - Phone:973-635-2299
Practice Address - Fax:973-635-8187
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2012-11-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA04673300207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJE53069Medicare UPIN
NJ180408M4BMedicare PIN