Provider Demographics
NPI:1952397325
Name:SILVERMAN, ANDREW B (DPM)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:B
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:333 SCHOOL ST
Mailing Address - Street 2:SUITE 209
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-5334
Mailing Address - Country:US
Mailing Address - Phone:401-335-3731
Mailing Address - Fax:401-335-3735
Practice Address - Street 1:333 SCHOOL ST
Practice Address - Street 2:SUITE 209
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-5334
Practice Address - Country:US
Practice Address - Phone:401-335-3731
Practice Address - Fax:401-335-3735
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-21
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDPM 264213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI480033070OtherRR MEDICARE PROV. NO.
RI000264OtherTUFTS PROVIDER NO.
RI1097OtherNEIGHBORHOOD HEALTH PROVI
RI0026278001OtherCIGNA PROVIDER NUMBER
RI9007056Medicaid
ID0522002OtherAETNA PROVIDER NO.
RI29705-1OtherBLUE CROSS BLUE SHIELD
RI202646OtherBLUE CHIP PROVIDER NUMBER
RI2700390OtherUNITED HEALTH CARE PROVID
RI480033070OtherRR MEDICARE PROV. NO.
RI29705-1OtherBLUE CROSS BLUE SHIELD