Provider Demographics
NPI:1952463515
Name:DASILVA, ANTHONY ABIOLA (MD)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:ABIOLA
Last Name:DASILVA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:14224 AMBERLEIGH TER
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-5918
Mailing Address - Country:US
Mailing Address - Phone:240-426-5685
Mailing Address - Fax:301-989-9657
Practice Address - Street 1:109 WAR MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:BERKELEY SPRINGS
Practice Address - State:WV
Practice Address - Zip Code:25411-1743
Practice Address - Country:US
Practice Address - Phone:304-258-6569
Practice Address - Fax:304-258-0331
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2011-12-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WV20067207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV1810315-000Medicaid