Provider Demographics
NPI:1336132174
Name:PEREZ, FINUCCIA R (MD)
Entity Type:Individual
Prefix:
First Name:FINUCCIA
Middle Name:R
Last Name:PEREZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:829 SHORE RD
Mailing Address - Street 2:
Mailing Address - City:SOMERS POINT
Mailing Address - State:NJ
Mailing Address - Zip Code:08244-2333
Mailing Address - Country:US
Mailing Address - Phone:609-927-3070
Mailing Address - Fax:609-927-2553
Practice Address - Street 1:829 SHORE RD
Practice Address - Street 2:
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2333
Practice Address - Country:US
Practice Address - Phone:609-927-3070
Practice Address - Fax:609-927-2553
Is Sole Proprietor?:No
Enumeration Date:2005-08-26
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08363800207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology