Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | DS016793L | PA |
Y | 213EG0000X | General Practice | DS016793L | PA |
NPI | 1003076126 |
---|---|
Provider Name | Dr. Louis H Perrone |
First Address | Royersford, PA 19468-2356 |
Second Address | Royersford, PA 19468-2356 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2008 |
Last Update Date | 12/06/2008 |