Provider Demographics
NPI:1699913731
Name:SHARON SILVERMAN MD LLC
Entity type:Organization
Organization Name:SHARON SILVERMAN MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:E
Authorized Official - Last Name:SILVERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-531-6882
Mailing Address - Street 1:10910 LITTLE PATUXENT PKWY
Mailing Address - Street 2:SUITE 105R
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3078
Mailing Address - Country:US
Mailing Address - Phone:410-964-8578
Mailing Address - Fax:410-964-8578
Practice Address - Street 1:10910 LITTLE PATUXENT PKWY
Practice Address - Street 2:SUITE 105R
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3078
Practice Address - Country:US
Practice Address - Phone:410-964-8578
Practice Address - Fax:410-964-8578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-28
Last Update Date:2009-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0046855207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty