Provider Demographics
NPI:1013039361
Name:SILVERSTEIN, ROSS STUART (MD)
Entity Type:Individual
Prefix:DR
First Name:ROSS
Middle Name:STUART
Last Name:SILVERSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3299 WOODBURN ROAD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ANNADALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-7335
Mailing Address - Country:US
Mailing Address - Phone:703-876-9067
Mailing Address - Fax:703-573-5499
Practice Address - Street 1:3299 WOODBURN ROAD
Practice Address - Street 2:SUITE 400
Practice Address - City:ANNADALE
Practice Address - State:VA
Practice Address - Zip Code:22003-7335
Practice Address - Country:US
Practice Address - Phone:703-876-9067
Practice Address - Fax:703-573-5499
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01010378362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
C88994Medicare UPIN
435982Medicare ID - Type Unspecified