Provider Demographics
NPI:1326101726
Name:PERKINS, PHYLLIS MARCY (MD)
Entity Type:Individual
Prefix:DR
First Name:PHYLLIS
Middle Name:MARCY
Last Name:PERKINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2 ASHBRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:LINWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08221-1342
Mailing Address - Country:US
Mailing Address - Phone:609-226-8108
Mailing Address - Fax:609-788-8707
Practice Address - Street 1:314 CHRIS GAUPP DR
Practice Address - Street 2:SUITE 101
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-4464
Practice Address - Country:US
Practice Address - Phone:609-404-1400
Practice Address - Fax:609-404-1430
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA037485207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology