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General NPI Number Information
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NPI Number | 1629061452
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Entity Type | Individual
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Provider Name | RUBEN PEREZ MD
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Gender | Male
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Dates
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Enumeration Date | 08/26/2005
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Last Update Date | 06/05/2017
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Provider Practice Location Address
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Address Line | 4TH & WALNUT STREETS 2ND FLOOR WEST
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City | LEBANON
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State | PA
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Zip | 17042-6123
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Country | US
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Telephone | 717-270-8875
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Fax | 717-270-2325
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Provider Business Mailing Address
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Address Line | PO BOX 300
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City | LEBANON
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State | PA
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Zip | 17042-0300
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Country | US
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Telephone | 717-270-7780
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Fax | 717-274-9746
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | PE133702
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License Number State | PA
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