MEDICARE: PERKS & PASSIONS LTD

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1382296	OTHER	PA	HIGHMARK

General Provider Information

NPI Number	:	1942256938
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PERKS & PASSIONS LTD

Provider Business Mailing Address
First Line	:	3447 HARTS RUN RD
Second Line	:
City	:	GLENSHAW
State	:	PA
Zip	:	15116-3027
Country	:	US
Telephone Number	:	412-767-9890
Fax Number	:

Provider Business Practice Location Address
First Line	:	3447 HARTS RUN RD
Second Line	:
City	:	GLENSHAW
State	:	PA
Zip	:	15116-3027
Country	:	US
Telephone Number	:	412-767-9890
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	VALERIE DONALDSON
Credential	:	MD
Telephone Number	:	412-767-9890

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	08/05/2008

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Practice Location Address:

3447 HARTS RUN RD , SUITE C
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1952389652 — DR. DARRELL JAMES BOLIN D.C.
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1225099849 — GULTAJ GREWAL DMD
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Directions to “PERKS & PASSIONS LTD ” Practice Location

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