MEDICARE: EDWARD J PERPER M.D.

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	207RC0000X	Cardiovascular Disease Physician	79571	MA

General Provider Information

NPI Number	:	1508993486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD J PERPER M.D.

Provider Business Mailing Address
First Line	:	84 WHITE BIRCH WAY
Second Line	:
City	:	WEST BARNSTABLE
State	:	MA
Zip	:	02668-1713
Country	:	US
Telephone Number	:	508-428-7989
Fax Number	:

Provider Business Practice Location Address
First Line	:	84 WHITE BIRCH WAY
Second Line	:
City	:	WEST BARNSTABLE
State	:	MA
Zip	:	02668-1713
Country	:	US
Telephone Number	:	508-428-7989
Fax Number	:

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

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	07/08/2007

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