Provider Demographics
NPI:1104869155
Name:SILVERSTEIN, MARC A (MD)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:A
Last Name:SILVERSTEIN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1 SCRIPPS DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-6206
Mailing Address - Country:US
Mailing Address - Phone:916-920-0871
Mailing Address - Fax:916-920-0860
Practice Address - Street 1:1 SCRIPPS DR
Practice Address - Street 2:SUITE 300
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-6206
Practice Address - Country:US
Practice Address - Phone:916-920-0871
Practice Address - Fax:916-920-0860
Is Sole Proprietor?:No
Enumeration Date:2006-06-14
Last Update Date:2013-03-29
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Provider Licenses
StateLicense IDTaxonomies
CAG58335207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0048630Medicaid
CAGR0048630Medicaid