Provider Demographics
NPI:1851589097
Name:HOWARD F PERELL, M.D.,P.A.
Entity Type:Organization
Organization Name:HOWARD F PERELL, M.D.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:V
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-760-0005
Mailing Address - Street 1:203 HOSPITAL DR
Mailing Address - Street 2:SUITE 306
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-6904
Mailing Address - Country:US
Mailing Address - Phone:410-760-0005
Mailing Address - Fax:410-760-1365
Practice Address - Street 1:203 HOSPITAL DR
Practice Address - Street 2:SUITE 306
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-6904
Practice Address - Country:US
Practice Address - Phone:410-760-0005
Practice Address - Fax:410-760-1365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD682CMedicare PIN
MDDG3525Medicare PIN
MDA02596Medicare UPIN