Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC009445 | PA |
NPI | 1003010935 |
---|---|
Provider Name | Dr. Alasdair Andrew Perry |
First Address | Marlton, NJ 08053-4063 |
Second Address | Philadelphia, PA 19116-3502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2007 |
Last Update Date | 08/07/2007 |