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1669478368

NPI Code Detail

MEDICARE: SCOTT R PERMAN MD

MEDICARE: SCOTT R PERMAN MD

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	207R00000X	Internal Medicine Physician	153872	MA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110162072	OTHER		RAILROAD/MEDICARE
8	A23104	OTHER		MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	27625	OTHER		CHILDREN'S MEDICAL SECURI
3	68516	OTHER		HARVARD PILGRIM PPO
4	68516	OTHER		HARVARD PILGRIM POS
5	G58808	OTHER		FIRST SENIORITY
6	J18316	OTHER		HMO BLUE/BLUE CHOICE
7	153872	OTHER		TUFTS TOTAL HEALTH PLAN
9	153872	OTHER		TUFTS
10	68516	OTHER		HARVARD/PILGRIM
11	J18316	OTHER		BS-BLUE CARE ELECT
12	04-41308	OTHER		UNITED HEALTHCARE(PPO)
13	153872	OTHER		TUFTS COMMONWEALTH PPO
14	3171671	OTHER		MASS HEALTH
15	153872	OTHER		TUFTS BENEFIT ADMIN
16	2831971	OTHER	MA	HEALTHSOURCE
17	2831971	OTHER		CIGNA HEALTH CARE
18	0016050	OTHER		NEIGHBORHOOD HEALTH PLAN
19	J18316	OTHER		BLUE SHIELD-INDEMNITY

General Provider Information

NPI Number	:	1669478368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT R PERMAN MD

Provider Business Mailing Address
First Line	:	1177 BOSTON PROVIDENCE TPKE
Second Line	:
City	:	NORWOOD
State	:	MA
Zip	:	02062-5019
Country	:	US
Telephone Number	:	781-278-5540
Fax Number	:	781-762-7623

Provider Business Practice Location Address
First Line	:	1177 BOSTON PROVIDENCE TPKE
Second Line	:
City	:	NORWOOD
State	:	MA
Zip	:	02062-5019
Country	:	US
Telephone Number	:	781-278-5540
Fax Number	:	781-762-7623

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

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	02/18/2021

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1659378628 — NEIL S BIRNBAUM MD
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1598762411 — NAILA WAHID M.D.
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Directions to “ SCOTT R PERMAN MD” Practice Location

Language	Start Address	Practice Location

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