Provider Demographics
NPI:1265401137
Name:SILEN, DEBORAH A (MD)
Entity type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:A
Last Name:SILEN
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 1:307 AUBURNDALE AVE
Mailing Address - Street 2:
Mailing Address - City:AUBURNDALE
Mailing Address - State:MA
Mailing Address - Zip Code:02466-1218
Mailing Address - Country:US
Mailing Address - Phone:617-964-4148
Mailing Address - Fax:
Practice Address - Street 1:307 AUBURNDALE AVE
Practice Address - Street 2:
Practice Address - City:AUBURNDALE
Practice Address - State:MA
Practice Address - Zip Code:02466-1218
Practice Address - Country:US
Practice Address - Phone:617-964-4148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA541472084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ06147OtherBLUE CROSS BLUE SHIELD
MA712547OtherTUFTS HEALTH PLAN
MA3017397Medicaid
MA3017397Medicaid
MAJ06147OtherBLUE CROSS BLUE SHIELD