Provider Demographics
NPI:1871590265
Name:SILVIA, RICHARD J (PHARMD, BCPP)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:J
Last Name:SILVIA
Suffix:
Gender:M
Credentials:PHARMD, BCPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-3949
Mailing Address - Country:US
Mailing Address - Phone:508-455-2331
Mailing Address - Fax:617-732-2244
Practice Address - Street 1:179 LONGWOOD AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5804
Practice Address - Country:US
Practice Address - Phone:617-732-2802
Practice Address - Fax:617-732-2244
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-30
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA243451835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1300XPharmacy Service ProvidersPharmacistPsychiatric