Individual
SCOTT W SILODOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1211 HAMBURG TPKE, 224, WAYNE, NJ 07470-5043
(973) 696-0998
(973) 696-3247
Mailing address
1211 HAMBURG TPKE, 224, WAYNE, NJ 07470-5043
(973) 696-0998
(973) 696-3247
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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