Provider Demographics
NPI:1790854883
Name:SEAN A AND PAMELA M SILVERMAN
Entity type:Organization
Organization Name:SEAN A AND PAMELA M SILVERMAN
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:SILVERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-831-4263
Mailing Address - Street 1:402 8TH AVE
Mailing Address - Street 2:STE 207
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-3055
Mailing Address - Country:US
Mailing Address - Phone:415-831-4263
Mailing Address - Fax:415-831-4269
Practice Address - Street 1:402 8TH AVE
Practice Address - Street 2:STE 207
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-3055
Practice Address - Country:US
Practice Address - Phone:415-831-4263
Practice Address - Fax:415-831-4269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2014-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ07160ZOtherBLUE SHIELD
CAZZZ16582ZMedicare ID - Type Unspecified