Provider Demographics
NPI:1952309858
Name:SILVERMAN, NIRA R (MD)
Entity Type:Individual
Prefix:DR
First Name:NIRA
Middle Name:R
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 WESTFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:ANSONIA
Mailing Address - State:CT
Mailing Address - Zip Code:06401-1158
Mailing Address - Country:US
Mailing Address - Phone:203-735-6144
Mailing Address - Fax:203-735-0633
Practice Address - Street 1:22 WESTFIELD AVE
Practice Address - Street 2:
Practice Address - City:ANSONIA
Practice Address - State:CT
Practice Address - Zip Code:06401-1158
Practice Address - Country:US
Practice Address - Phone:203-735-6144
Practice Address - Fax:203-735-0633
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT015389207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
015389OtherCONNECTICARE
0304345OtherUNITED
NER0100976OtherHEALTHSOURCE
0567719OtherAETNA
567719OtherUS HEALTHCARE
Q000398OtherHEALTHNET
0532903001OtherCIGNA
NHS091OtherOXFORD
010015389CT01OtherANTHEM
CT070000072Medicare ID - Type Unspecified
NHS091OtherOXFORD