Provider Demographics
NPI:1699770412
Name:SILVERBERG, MICHAEL SLOAN (MD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:SLOAN
Last Name:SILVERBERG
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:149M HIGHWAY 31
Mailing Address - Street 2:THE DOCTOR IS IN, PA
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822
Mailing Address - Country:US
Mailing Address - Phone:908-782-7700
Mailing Address - Fax:908-782-3644
Practice Address - Street 1:59 OLD ROUTE 22
Practice Address - Street 2:THE DOCTOR IS IN, PA
Practice Address - City:CLINTON
Practice Address - State:NJ
Practice Address - Zip Code:08809
Practice Address - Country:US
Practice Address - Phone:908-730-6363
Practice Address - Fax:908-730-8185
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2008-08-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06667600207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJD07318900OtherCDS #
NJ1354782391OtherDPA #
NJ25MA06667600OtherNJ MED LICENSE #
NJC98624Medicare UPIN
NJ017339Medicare ID - Type Unspecified