Provider Demographics
NPI:1780754606
Name:SILVERMAN, PAUL W (DC)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:W
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 TINDALL RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07748-2740
Mailing Address - Country:US
Mailing Address - Phone:732-671-3234
Mailing Address - Fax:732-957-9028
Practice Address - Street 1:8 TINDALL RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-2740
Practice Address - Country:US
Practice Address - Phone:732-671-3234
Practice Address - Fax:732-671-3258
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2011-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00483700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ63671Medicare UPIN
NJSI438008Medicare PIN