Provider Demographics
NPI:1790860096
Name:DRS PERL AND FEINERMAN P.A.
Entity type:Organization
Organization Name:DRS PERL AND FEINERMAN P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:L
Authorized Official - Last Name:PERL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-795-7300
Mailing Address - Street 1:1645 LIBERTY RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:ELDERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21784-6521
Mailing Address - Country:US
Mailing Address - Phone:410-795-7300
Mailing Address - Fax:
Practice Address - Street 1:1645 LIBERTY RD
Practice Address - Street 2:SUITE 205
Practice Address - City:ELDERSBURG
Practice Address - State:MD
Practice Address - Zip Code:21784-6521
Practice Address - Country:US
Practice Address - Phone:410-795-7300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00170922080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDE90482Medicare UPIN
MDD74779Medicare UPIN
MDE25328Medicare UPIN