Provider Demographics
NPI:1952679615
Name:PAUL W. SILVERMAN DC
Entity Type:Organization
Organization Name:PAUL W. SILVERMAN DC
Other - Org Name:MIDDLETOWN CHIROPRACTIC GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:SILVERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-671-3234
Mailing Address - Street 1:8 TINDALL RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-2740
Mailing Address - Country:US
Mailing Address - Phone:732-671-3234
Mailing Address - Fax:732-671-3258
Practice Address - Street 1:8 TINDALL RD
Practice Address - Street 2:SUITE 3
Practice Address - City:MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-2740
Practice Address - Country:US
Practice Address - Phone:732-671-3234
Practice Address - Fax:732-671-3258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-09
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00483700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6371Medicare UPIN
NJSI438008Medicare PIN