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MARYELLEN Z SILVA
2800 MAIN ST RADIATION ONCOLOGY BRIDGEPORT CT 66064201
MARYELLEN Z SILVA is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1063564524. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 3072655570. The primary specialty is NURSE PRACTITIONER. The organization is ST. VINCENT'S MULTISPECIALTY GROUP INC. The address is 2800 MAIN ST, RADIATION ONCOLOGY, BRIDGEPORT, CT, 66064201. The zip code is 66064201.
|Nation Provider ID||1063564524|
|PAC ID by PECOS||3072655570|
|Professional Enrollment ID||I20100121000618|
|Name||MARYELLEN Z SILVA|
|Medical School Name||MARYMOUNT UNIVERSITY|
|Primary Specialty||NURSE PRACTITIONER|
|All secondary specialties|
|Organization Name||ST. VINCENT'S MULTISPECIALTY GROUP INC|
|Group Practice PAC ID||6204977218|
|Number of Group Practice members||127|
|Address||2800 MAIN ST, RADIATION ONCOLOGY, BRIDGEPORT, CT, 66064201|
|Hospital affiliation LBN||ST VINCENTS MEDICAL CENTER|