Provider Demographics
NPI:1285653287
Name:PERLIS, ROY HOWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:HOWARD
Last Name:PERLIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02114-3117
Mailing Address - Country:US
Mailing Address - Phone:617-724-0287
Mailing Address - Fax:617-726-2894
Practice Address - Street 1:15 PARKMAN STREET WAC 812
Practice Address - Street 2:PSYCHIATRY OUTPATIENT DEPARTMENT
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3117
Practice Address - Country:US
Practice Address - Phone:617-724-5600
Practice Address - Fax:617-724-3028
Is Sole Proprietor?:No
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA1586732084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA158673OtherTUFTS HEALTH PLAN