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NPI Code Detail

MEDICARE: RICHARD PERIUT MD

MEDICARE: RICHARD PERIUT 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
1207RP1001XPulmonary Disease PhysicianMA68984NJ

Other Identifiers

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

General Provider Information

NPI Number : 1720034606
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD PERIUT MD
Provider Business Mailing Address
First Line : 44 FRANKLIN ST
Second Line :
City : LITTLE FERRY
State : NJ
Zip : 07643-1218
Country : US
Telephone Number : 201-512-9494
Fax Number : 201-512-1995
Provider Business Practice Location Address
First Line : 3701 PARK AVE
Second Line :
City : UNION CITY
State : NJ
Zip : 07087-6021
Country : US
Telephone Number : 201-440-2222
Fax Number : 201-440-2282
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 01/24/2008

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