MEDICARE: ALEXANDER ANTHONY PERRI PA

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
1	363A00000X	Physician Assistant		PA

General Provider Information

NPI Number	:	1376053199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDER ANTHONY PERRI PA

Provider Business Mailing Address
First Line	:	1500 VILLAGE RUN RD STE 308
Second Line	:
City	:	WEXFORD
State	:	PA
Zip	:	15090-6316
Country	:	US
Telephone Number	:	724-934-1900
Fax Number	:	724-934-3388

Provider Business Practice Location Address
First Line	:	1500 VILLAGE RUN RD STE 308
Second Line	:
City	:	WEXFORD
State	:	PA
Zip	:	15090-6316
Country	:	US
Telephone Number	:	724-934-1900
Fax Number	:	724-934-3388

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2017
Last Update Date	:	01/28/2026

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