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NPI Code Detail

MEDICARE: PERRY PHYSICIANS, P.C.

MEDICARE: PERRY PHYSICIANS, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
250026520OTHERPACAPITAL BLUE CROSS

General Provider Information

NPI Number : 1013920776
Entity Type Code : Organization
Provider Name (Legal Business Name) : PERRY PHYSICIANS, P.C.
Provider Business Mailing Address
First Line : PO BOX 276
Second Line :
City : SHERMANS DALE
State : PA
Zip : 17090-0276
Country : US
Telephone Number : 717-582-2090
Fax Number : 717-582-7090
Provider Business Practice Location Address
First Line : 4570 VALLEY RD
Second Line :
City : SHERMANS DALE
State : PA
Zip : 17090
Country : US
Telephone Number : 717-582-2090
Fax Number : 717-582-7090
Authorized Official
Title or Position : OFFICE MANAGER
Name : JACQUELINE BINGAMAN
Credential :
Telephone Number : 717-582-2090
Provider Enumeration Date : 08/14/2006
Last Update Date : 08/22/2020

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Directions to “PERRY PHYSICIANS, P.C. ” Practice Location

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