Provider Demographics
NPI:1013170083
Name:SILVERMAN, RUSSELL V (DO)
Entity Type:Individual
Prefix:DR
First Name:RUSSELL
Middle Name:V
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 E MARYLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SOMERS POINT
Mailing Address - State:NJ
Mailing Address - Zip Code:08244-2525
Mailing Address - Country:US
Mailing Address - Phone:609-653-0099
Mailing Address - Fax:609-653-0322
Practice Address - Street 1:110 E MARYLAND AVE
Practice Address - Street 2:
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2525
Practice Address - Country:US
Practice Address - Phone:609-653-0099
Practice Address - Fax:609-653-0322
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB080031002083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAOS2795-LOtherLICENSE
NJ25MB08003100OtherLICENSE
NJ25MB08003100OtherLICENSE
NJ25MB08003100OtherLICENSE