Provider Demographics
NPI:1316248404
Name:SILVER, GRETCHEN M (DC)
Entity type:Individual
Prefix:DR
First Name:GRETCHEN
Middle Name:M
Last Name:SILVER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:292 BLOOMFIELD AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-3624
Mailing Address - Country:US
Mailing Address - Phone:973-744-8040
Mailing Address - Fax:866-527-4855
Practice Address - Street 1:292 BLOOMFIELD AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-3624
Practice Address - Country:US
Practice Address - Phone:973-744-8040
Practice Address - Fax:866-527-4855
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-05
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00338100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor