Individual
SCOTT W SILODOR
Active
Individual
SCOTT W SILODOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA06061500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037893
MEDICARE GROUP
NJ
01
—
0497752
AETNA
NJ
01
—
149689AWS
MEDICARE RENDERING NUMBER
NJ
01
—
191754
MEDICARE GROUP NUMBER
NJ
05
—
2026619
—
NJ
01
—
P1603435
OXFORD
NJ
Enumeration date
11/07/2005
Last updated
03/02/2017
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