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1043311277 NPI number — JUSTIN D. PEARLMAN MD ME PHD MA

NPI Number: 1043311277
Health Care Provider/Practitioner: JUSTIN D. PEARLMAN MD ME PHD MA

Information about “1043311277” NPI (JUSTIN D. PEARLMAN MD ME PHD MA) exists in 1043311277 in HTML format HTML  |  1043311277 in plain Text format TXT  |  1043311277 in PDF (Portable Document Format) PDF  |  1043311277 in an XML format XML  formats.

NPI Number : 1043311277 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043311277",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "PEARLMAN",
    "FirstName": "JUSTIN",
    "MiddleName": "D.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD ME PHD MA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "25 GODDARD CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BROOKLINE",
    "MailingAddressStateName": "MA",
    "MailingAddressPostalCode": "02445-7404",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "617-894-6888",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "25 GODDARD CIR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BROOKLINE",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "02445-7404",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "617-894-6888",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/26/2006",
    "LastUpdateDate": "12/01/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207RC0000X",
          "TaxonomyName": "Cardiovascular Disease Physician",
          "LicenseNumber": "11571",
          "LicenseNumberStateCode": "NH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RC0000X",
          "TaxonomyName": "Cardiovascular Disease Physician",
          "LicenseNumber": "MD21353",
          "LicenseNumberStateCode": "ME",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2085R0202X",
          "TaxonomyName": "Diagnostic Radiology Physician",
          "LicenseNumber": "56466",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2085R0202X",
          "TaxonomyName": "Diagnostic Radiology Physician",
          "LicenseNumber": "11571",
          "LicenseNumberStateCode": "NH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207RC0000X",
          "TaxonomyName": "Cardiovascular Disease Physician",
          "LicenseNumber": "56466",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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