Healthcare Provider Details

I. General information

NPI: 1508032855
Provider Name (Legal Business Name): ADRIENNE PERLMAN M D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2008
Last Update Date: 05/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S ADAMS ST
WILMINGTON DE
19801-5104
US

IV. Provider business mailing address

200 S ADAMS STREET
WILMINGTON DE
19801
US

V. Phone/Fax

Practice location:
  • Phone: 302-577-3420
  • Fax: 302-622-4412
Mailing address:
  • Phone: 302-577-3420
  • Fax: 302-622-4412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173000000X
TaxonomyLegal Medicine
License NumberC1-0004375
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: