Provider Demographics
NPI:1033227392
Name:SILVERSTEIN, H. ROBERT (MD FACC)
Entity type:Individual
Prefix:DR
First Name:H.
Middle Name:ROBERT
Last Name:SILVERSTEIN
Suffix:
Gender:M
Credentials:MD FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 789
Mailing Address - Street 2:
Mailing Address - City:LUDLOW
Mailing Address - State:MA
Mailing Address - Zip Code:01056-0789
Mailing Address - Country:US
Mailing Address - Phone:413-509-1000
Mailing Address - Fax:413-509-1003
Practice Address - Street 1:1000 ASYLUM AVE
Practice Address - Street 2:#2109
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-1770
Practice Address - Country:US
Practice Address - Phone:860-549-3444
Practice Address - Fax:860-549-3569
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2014-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT015591174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1155910Medicaid
CT1155910Medicaid
CTB84616Medicare UPIN