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NPI Code Detail

MEDICARE: DR. JACK F PERRONE

MEDICARE: DR. JACK F PERRONE
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
1207V00000XObstetrics & Gynecology Physician36392MN
2207V00000XObstetrics & Gynecology Physician25MA05459900NJ

General Provider Information

NPI Number : 1033163365
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JACK F PERRONE
Provider Business Mailing Address
First Line : 1650 4TH ST SE
Second Line :
City : ROCHESTER
State : MN
Zip : 55904-4717
Country : US
Telephone Number : 507-288-3443
Fax Number :
Provider Business Practice Location Address
First Line : 1650 4TH ST SE
Second Line :
City : ROCHESTER
State : MN
Zip : 55904-4717
Country : US
Telephone Number : 507-288-3443
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 05/26/2026

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Directions to “ DR. JACK F PERRONE ” Practice Location

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