Provider Demographics
NPI:1245236033
Name:PERLMAN, DONALD BRET (MD)
Entity Type:Individual
Prefix:
First Name:DONALD
Middle Name:BRET
Last Name:PERLMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:741 NORTHFIELD AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-1174
Mailing Address - Country:US
Mailing Address - Phone:973-736-7722
Mailing Address - Fax:973-736-9607
Practice Address - Street 1:741 NORTHFIELD AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-1174
Practice Address - Country:US
Practice Address - Phone:973-736-7722
Practice Address - Fax:973-736-9607
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-27
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA03462000207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1014003OtherHORIZON NJ HEALTH
NJP5718241OtherUHC OXFORD
NJ010034620NJ01OtherANTHEM HEALTH
NJ0397601Medicaid
NJ442048OtherAMERIHEALTH
NJ0021747OtherGHI
NJ01000134900OtherAMERICHOICE
NJ34103OtherAETNA
NJP934268OtherOXFORD
NJ442048N6ZOtherMEDICARE
NJ4907230OtherAETNA
NJ0021747OtherEMBLEM HEALTH
NJ06A512OtherEMPIRE BLUE SHIELD
NJ414001OtherCIGNA
NJ17746OtherAMERICAID
NJ60410207OtherHORIZON NJ HEALTH
NJOK2760OtherHEALTHNET