Provider Demographics
NPI:1386030674
Name:SILVERMAN, ANGELA JO (MD, MPH)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:JO
Last Name:SILVERMAN
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:10 SHURS LN STE 301
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19127-2123
Mailing Address - Country:US
Mailing Address - Phone:215-482-4744
Mailing Address - Fax:215-482-1095
Practice Address - Street 1:3401 MARKET ST STE 105A
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-3315
Practice Address - Country:US
Practice Address - Phone:215-220-4720
Practice Address - Fax:215-220-4725
Is Sole Proprietor?:No
Enumeration Date:2015-04-13
Last Update Date:2018-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD463708207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine