Provider Demographics
NPI:1023155108
Name:SILVER, POLY-ANNA (MD)
Entity type:Individual
Prefix:
First Name:POLY-ANNA
Middle Name:
Last Name:SILVER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5876 PIMLICO RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-4203
Mailing Address - Country:US
Mailing Address - Phone:410-685-8181
Mailing Address - Fax:
Practice Address - Street 1:600 N. WOLFE STREET, BLALOCK 1412
Practice Address - Street 2:JOHNS HOPKINS UNIVERSITY HOSPITAL, DEPT. OF ACCM
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-4963
Practice Address - Country:US
Practice Address - Phone:410-955-7609
Practice Address - Fax:410-955-5607
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-30
Last Update Date:2009-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDV0261207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDV0261OtherPHYSICIAN'S ID NUMBER