Provider Demographics
NPI:1336221381
Name:PERRY, JOHN FRANCIS III (MD)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:FRANCIS
Last Name:PERRY
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 210
Mailing Address - Street 2:25 SOUTH PINE STREET
Mailing Address - City:ELVERSON
Mailing Address - State:PA
Mailing Address - Zip Code:19520-0210
Mailing Address - Country:US
Mailing Address - Phone:610-286-1660
Mailing Address - Fax:610-286-1662
Practice Address - Street 1:25 S PINE ST
Practice Address - Street 2:
Practice Address - City:ELVERSON
Practice Address - State:PA
Practice Address - Zip Code:19520-9720
Practice Address - Country:US
Practice Address - Phone:610-286-1660
Practice Address - Fax:610-286-1662
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD013614E207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50026603OtherCAPITAL BLUE CROSS
PA0025993000OtherKEYSTONE HEALTH PLAN EST
PA2063128OtherAETNA US HEALTHCARE
PA50026603OtherCAPITAL BLUE CROSS
PA2063128OtherAETNA US HEALTHCARE
PA0137358Medicare ID - Type Unspecified