Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 210441 | MA |
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 210441 | MA |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 210441 | MA |
NPI | 1073627972 |
---|---|
Provider Name | Dr. Jonathan R Perryman |
First Address | Peabody, MA 01960-7935 |
Second Address | Peabody, MA 01960-7935 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2006 |
Last Update Date | 23/12/2021 |