Provider Demographics
NPI:1003010935
Name:PERRY, ALASDAIR ANDREW (DC)
Entity Type:Individual
Prefix:DR
First Name:ALASDAIR
Middle Name:ANDREW
Last Name:PERRY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 SOMERSET LN
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-4063
Mailing Address - Country:US
Mailing Address - Phone:856-357-6366
Mailing Address - Fax:215-569-2776
Practice Address - Street 1:10014 SANDMEYER LN
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19116-3502
Practice Address - Country:US
Practice Address - Phone:215-969-3752
Practice Address - Fax:215-676-5779
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009445111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor