Provider Demographics
NPI:1295223584
Name:LA PERLA, EMMA (MD)
Entity Type:Individual
Prefix:DR
First Name:EMMA
Middle Name:
Last Name:LA PERLA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:170 HAZARD AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-5421
Mailing Address - Country:US
Mailing Address - Phone:860-763-4001
Mailing Address - Fax:860-749-5592
Practice Address - Street 1:170 HAZARD AVE STE 2
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082-5421
Practice Address - Country:US
Practice Address - Phone:860-763-4001
Practice Address - Fax:860-749-5592
Is Sole Proprietor?:No
Enumeration Date:2018-04-23
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT72408207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology