Individual
NICOLE MARIE SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 W ROUTE 38 FL 1, MOORESTOWN, NJ 08057-3219
(856) 270-4001
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP01022100
NJ
363AS0400X
Surgical Physician Assistant
MA060304
PA
363AS0400X
Surgical Physician Assistant
OA004677
PA
Other
Enumeration date
10/25/2018
Last updated
07/06/2026
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