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NPI Code Detail

MEDICARE: ANTHONY PERRE MD

MEDICARE:   ANTHONY  PERRE  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
1207R00000XInternal Medicine PhysicianMD060147LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
121198960001OTHERKEYSTONE LIAISON
24708888939OTHERFIRST HEALTH CCN
335061OTHERINTERCOUNTY
41058223OTHERKEYSTONE MERCY HEALTHPLAN
5007302OTHERAETNA PPO MANAGED CARE
6PC0137OTHERHEALTH NET
7007302OTHERAETNA HMO
82119896001OTHERAMERIHEALTH ADMINISTRATOR
94708888939OTHERDEVON
1021198960001OTHERKEYSTONE HEALTH EAST 65
112119896001OTHERAMERIHEALTH HMO
1247088939OTHERMAMSI
13P1134389OTHEROXFORD
1421198960001OTHERKEYSTONE HEALTH PLAN EAST
15P1134389OTHERMULTI PLAN

General Provider Information

NPI Number : 1982688826
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY PERRE MD
Provider Business Mailing Address
First Line : 1331 E WYOMING AVE
Second Line : SUITE 4040
City : PHILADELPHIA
State : PA
Zip : 19124-3808
Country : US
Telephone Number : 215-537-7542
Fax Number : 215-537-7884
Provider Business Practice Location Address
First Line : 1331 E WYOMING AVE
Second Line : SUITE 4040
City : PHILADELPHIA
State : PA
Zip : 19124-3808
Country : US
Telephone Number : 215-537-7542
Fax Number : 215-537-7884
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2005
Last Update Date : 07/08/2007

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