Provider Demographics
NPI:1396798021
Name:SILVERSTEIN, SCOTT D (DO)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:D
Last Name:SILVERSTEIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4131 OREGON PIKE
Mailing Address - Street 2:SUITE C
Mailing Address - City:EPHRATA
Mailing Address - State:PA
Mailing Address - Zip Code:17522-9550
Mailing Address - Country:US
Mailing Address - Phone:717-859-5161
Mailing Address - Fax:717-859-5169
Practice Address - Street 1:227 GRANITE RUN DR
Practice Address - Street 2:SUITE 110
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6813
Practice Address - Country:US
Practice Address - Phone:717-560-5156
Practice Address - Fax:717-561-5165
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2015-05-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS005164L207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP00324587OtherRAILROAD MEDICARE
PA0011490750013Medicaid
PA545358OtherBLUE SHIELD
PA545358UFWMedicare PIN
PA0011490750013Medicaid