Provider Demographics
NPI:1942788054
Name:PERDUNN, MARIA VIOLET
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:VIOLET
Last Name:PERDUNN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 SPRINGCRESS DR
Mailing Address - Street 2:
Mailing Address - City:DELRAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08075-2825
Mailing Address - Country:US
Mailing Address - Phone:856-693-1039
Mailing Address - Fax:
Practice Address - Street 1:584 BENSON ST
Practice Address - Street 2:
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1324
Practice Address - Country:US
Practice Address - Phone:856-964-1990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-31
Last Update Date:2018-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)