Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD051143L | PA |
Y | 208600000X | Surgeon | MD051143L | PA |
NPI | 1003872813 |
---|---|
Provider Name | Dr. Jeffrey Allen Perri |
First Address | Pittsburgh, PA 15243-1800 |
Second Address | Pittsburgh, PA 15243-1800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2006 |
Last Update Date | 05/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0015935200002 | (05) | PA |
203819 | UPMC HEALTH PLAN (01) | |
855825 | INDIVIDUAL BLUE SHIELD # (01) | PA |
G24759 | (02) | PA |
G24759 | HEALTH AMERICA (01) |