Provider Demographics
NPI:1295985794
Name:PERRI, DANIEL F (DO)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:F
Last Name:PERRI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 THOMPSON PARK
Mailing Address - Street 2:
Mailing Address - City:KANE
Mailing Address - State:PA
Mailing Address - Zip Code:16735-5618
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2 THOMPSON PARK
Practice Address - Street 2:
Practice Address - City:KANE
Practice Address - State:PA
Practice Address - Zip Code:16735-5618
Practice Address - Country:US
Practice Address - Phone:814-837-4770
Practice Address - Fax:814-837-6771
Is Sole Proprietor?:No
Enumeration Date:2008-09-22
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS014570208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102207229Medicaid
PA137387Medicare PIN