Provider Demographics
NPI:1568824720
Name:PERRY, DYLAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DYLAN
Middle Name:
Last Name:PERRY
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:860 WASHINGTON STREET
Mailing Address - Street 2:DIVISION OF PLASTIC SURGERY, SOUTH BUILDING 4TH FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1521
Mailing Address - Country:US
Mailing Address - Phone:617-636-5600
Mailing Address - Fax:617-636-9095
Practice Address - Street 1:860 WASHINGTON STREET
Practice Address - Street 2:DIVISION OF PLASTIC SURGERY, SOUTH BUILDING 4TH FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1521
Practice Address - Country:US
Practice Address - Phone:617-636-5600
Practice Address - Fax:617-636-9095
Is Sole Proprietor?:No
Enumeration Date:2016-03-25
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA2918502086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery