Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | MA061234 | NJ |
NPI | 1225125255 |
---|---|
Provider Name | Louis P. Perri |
First Address | Sewell, NJ 08080-2321 |
Second Address | Sewell, NJ 08080-2321 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/10/2006 |
Last Update Date | 20/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G57343 | (02) |