Individual
DR. RANDI S. SILIBOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 SPRUCE ST, 3 SILVERSTEIN STE F, PHILADELPHIA, PA 19104-4238
(215) 615-1717
Mailing address
3400 SPRUCE ST, 3 SILVERSTEIN STE F, PHILADELPHIA, PA 19104-4238
(215) 615-1717
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD045479L
PA
207RI0200X
Infectious Disease Physician
Primary
MD045479L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001286305
—
PA
05
—
5172608
—
NJ
Enumeration date
07/22/2006
Last updated
08/29/2019
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