Provider Demographics
NPI:1225125255
Name:PERRI, LOUIS P (MD)
Entity Type:Individual
Prefix:
First Name:LOUIS
Middle Name:P
Last Name:PERRI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:474 HURFFVILLE CROSSKEYS RD
Mailing Address - Street 2:ATRIUM ONE, SUITE B
Mailing Address - City:SEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08080-2321
Mailing Address - Country:US
Mailing Address - Phone:856-582-8900
Mailing Address - Fax:856-582-9667
Practice Address - Street 1:474 HURFFVILLE CROSSKEYS RD
Practice Address - Street 2:ATRIUM ONE, SUITE B
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-2321
Practice Address - Country:US
Practice Address - Phone:856-582-8900
Practice Address - Fax:856-582-9667
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA0612342086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
G57343Medicare UPIN
900534VSHMedicare PIN