MEDICARE: DR. ALAN MARTIN PERLMUTTER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	032441	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831204221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN MARTIN PERLMUTTER MD

Provider Business Mailing Address
First Line	:	3920 NW 49TH ST
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33309-3308
Country	:	US
Telephone Number	:	860-573-8789
Fax Number	:

Provider Business Practice Location Address
First Line	:	3920 NW 49TH ST
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33309-3308
Country	:	US
Telephone Number	:	860-573-8789
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	04/23/2020

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