Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 032452 | GA |
NPI | 1013918457 |
---|---|
Provider Name | Howard J Perofsky |
First Address | Macon, GA 31201-6883 |
Second Address | Macon, GA 31201-6883 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2005 |
Last Update Date | 26/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000410473A | (05) | GA |
240002535 | RETIRED RAILROAD MEDICARE (01) | GA |
319715 | (05) | GA |
581859020 | AETNA HEALTH PLANS (01) | GA |
581859020 | CIGNA (01) | GA |
581859020 | GEORGIA BLUE SHIELD (01) | GA |
581859020 | HUMANA (01) | GA |
581859020 | TRICARE/CHAMPUS (01) | GA |
581859020 | UNITED HEALTHCARE (01) | GA |
E60311 | (02) | GA |