=====================================================
General NPI Number Information
=====================================================
NPI Number | 1104321025
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NICOLA CLAIRE PERLMAN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/25/2018
-----------------------------------------------------
Last Update Date | 05/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1855 4TH ST FL 3
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94143-2350
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-502-3344
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5 FRANCIS STREET DEPT. OF OB/GYN RESIDENCY PROGRAM
-----------------------------------------------------
City | BOSTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02115
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 617-732-7801
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207VM0101X
-----------------------------------------------------
Taxonomy Name | Maternal & Fetal Medicine Physician
-----------------------------------------------------
License Number | A177356
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------