Provider Demographics
NPI:1124144324
Name:SILVERSTEIN, IRVING SAM (DC)
Entity type:Individual
Prefix:DR
First Name:IRVING
Middle Name:SAM
Last Name:SILVERSTEIN
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 1:1709 LANGHORNE NEWTOWN RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1010
Mailing Address - Country:US
Mailing Address - Phone:215-860-0450
Mailing Address - Fax:215-860-5224
Practice Address - Street 1:1709 LANGHORNE NEWTOWN RD
Practice Address - Street 2:SUITE 3
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1010
Practice Address - Country:US
Practice Address - Phone:215-860-0450
Practice Address - Fax:215-860-5224
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC-003746-L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2228675000Medicare UPIN
PASI198684Medicare ID - Type Unspecified