Provider Demographics
NPI:1316034341
Name:LOUIS P PERRI MD PC
Entity Type:Organization
Organization Name:LOUIS P PERRI MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:P
Authorized Official - Last Name:PERRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:856-582-8900
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2007-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA0612342086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ104334Medicare PIN