Provider Demographics
NPI:1801891924
Name:SILVERSTEIN, ERIC HOWARD (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:HOWARD
Last Name:SILVERSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6160 TUTT BLVD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80922-3568
Mailing Address - Country:US
Mailing Address - Phone:719-636-0080
Mailing Address - Fax:719-636-3030
Practice Address - Street 1:6160 TUTT BLVD
Practice Address - Street 2:SUITE 210
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80922-3568
Practice Address - Country:US
Practice Address - Phone:719-636-0080
Practice Address - Fax:719-636-3030
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO36728207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO8415792190001OtherROCKY MOUNTAIN UFCW
CO84157921901OtherPACIFICARE
COSI634738OtherBC/BS
CO84157921901OtherPACIFICARE