Healthcare Provider Details

I. General information

NPI: 1740272079
Provider Name (Legal Business Name): JEFFREY HUGH PERLSON DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 04/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 NEWTOWN RD WARMINSTER CAMPUS
WARMINSTER PA
18974-5221
US

IV. Provider business mailing address

225 NEWTOWN RD WARMINSTER CAMPUS
WARMINSTER PA
18974-5221
US

V. Phone/Fax

Practice location:
  • Phone: 215-441-6650
  • Fax: 215-441-6830
Mailing address:
  • Phone: 215-441-6650
  • Fax: 215-441-6830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0S003563L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: