Provider Demographics
NPI:1659575041
Name:PEREZ, GILBERT B (MD)
Entity Type:Individual
Prefix:
First Name:GILBERT
Middle Name:B
Last Name:PEREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:211 EASY ST
Mailing Address - Street 2:SUITE 127
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-3129
Mailing Address - Country:US
Mailing Address - Phone:724-430-8755
Mailing Address - Fax:724-434-1659
Practice Address - Street 1:111B ROBERTS RD
Practice Address - Street 2:
Practice Address - City:GRINDSTONE
Practice Address - State:PA
Practice Address - Zip Code:15442-1105
Practice Address - Country:US
Practice Address - Phone:724-785-2286
Practice Address - Fax:724-785-3187
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2012-07-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD441480207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine