Provider Demographics
NPI:1295792968
Name:SILVERSTEIN, IRIS (MD)
Entity type:Individual
Prefix:
First Name:IRIS
Middle Name:
Last Name:SILVERSTEIN
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 1:111 FRANKLIN HEALTH CMNS
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:ME
Mailing Address - Zip Code:04938-6144
Mailing Address - Country:US
Mailing Address - Phone:207-779-6623
Mailing Address - Fax:207-779-2323
Practice Address - Street 1:131 FRANKLIN HEALTH CMNS
Practice Address - Street 2:FRANKLIN HLTH CHILD & ADOL. DEVELOPMENTAL PEDIATRICS
Practice Address - City:FARMINGTON
Practice Address - State:ME
Practice Address - Zip Code:04938-6142
Practice Address - Country:US
Practice Address - Phone:207-779-6623
Practice Address - Fax:207-779-2323
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA221062208000000X
ME011132208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ28265OtherBCBS
H43813Medicare UPIN