Provider Demographics
NPI:1013976299
Name:SILVER, JOEL S (MD)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:S
Last Name:SILVER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 WOODLAND ST
Mailing Address - Street 2:SUITE G-80, GOTHIC PARK
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06105-2363
Mailing Address - Country:US
Mailing Address - Phone:860-527-5803
Mailing Address - Fax:860-525-3687
Practice Address - Street 1:43 WOODLAND ST
Practice Address - Street 2:SUITE G-80, GOTHIC PARK
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-2363
Practice Address - Country:US
Practice Address - Phone:860-527-5803
Practice Address - Fax:860-525-3687
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT027444174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTE37128Medicare UPIN