Provider Demographics
NPI:1932142098
Name:SILVERS, LAWRENCE W (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:W
Last Name:SILVERS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 8000
Mailing Address - Street 2:DEPT 596
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14267-0002
Mailing Address - Country:US
Mailing Address - Phone:866-295-0041
Mailing Address - Fax:708-342-2517
Practice Address - Street 1:9 HOSPITAL DR
Practice Address - Street 2:SUITE C23
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-6425
Practice Address - Country:US
Practice Address - Phone:732-341-0474
Practice Address - Fax:732-341-0473
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2023-12-29
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA04010800208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0405906Medicaid
NJCA6841Medicare PIN
NJ0405906Medicaid
NJC58666Medicare UPIN