Doctor Name: | MR. ERNEST SILVA |
NPI Number: | 1063487668 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA |
License Number: | 718 |
Business Practice Address: | 175 Falcon Dr 104th Medical Group - Barnes Angb Westfield, MA - 010851482 |
Business Phone Number: | 4135689151 |
Business Fax Number: | |
Mailing Address: | 1204 Pine St, Po Box 626 NORTH DIGHTON |
State: | MA |
Postal Code: | 027640626 |
Phone Number: | 5086695529 |
Fax Number: | |
NPI Enumeration Date: | 02/17/2006 |
NPI Last Update Date: | 04/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 718 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |