Provider Demographics
NPI:1669478368
Name:PERMAN, SCOTT R (MD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:R
Last Name:PERMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1177 BOSTON PROVIDENCE TPKE
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-5019
Mailing Address - Country:US
Mailing Address - Phone:781-278-5540
Mailing Address - Fax:781-762-7623
Practice Address - Street 1:1177 BOSTON PROVIDENCE TPKE
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-5019
Practice Address - Country:US
Practice Address - Phone:781-278-5540
Practice Address - Fax:781-762-7623
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2021-02-18
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Provider Licenses
StateLicense IDTaxonomies
MA153872207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
110162072OtherRAILROAD/MEDICARE
27625OtherCHILDREN'S MEDICAL SECURI
68516OtherHARVARD PILGRIM PPO
68516OtherHARVARD PILGRIM POS
G58808OtherFIRST SENIORITY
J18316OtherHMO BLUE/BLUE CHOICE
153872OtherTUFTS TOTAL HEALTH PLAN
A23104OtherMEDICARE
153872OtherTUFTS
68516OtherHARVARD/PILGRIM
J18316OtherBS-BLUE CARE ELECT
04-41308OtherUNITED HEALTHCARE(PPO)
153872OtherTUFTS COMMONWEALTH PPO
3171671OtherMASS HEALTH
153872OtherTUFTS BENEFIT ADMIN
MA2831971OtherHEALTHSOURCE
2831971OtherCIGNA HEALTH CARE
0016050OtherNEIGHBORHOOD HEALTH PLAN
J18316OtherBLUE SHIELD-INDEMNITY
A23104OtherMEDICARE