Provider Demographics
NPI:1982802062
Name:ABERDEEN & HOLMDEL MEDICAL ASSSOCIATES, P.C.
Entity Type:Organization
Organization Name:ABERDEEN & HOLMDEL MEDICAL ASSSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VASANTHA
Authorized Official - Middle Name:K
Authorized Official - Last Name:PERKARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-566-7711
Mailing Address - Street 1:428 LLOYD RD
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-1552
Mailing Address - Country:US
Mailing Address - Phone:732-566-7711
Mailing Address - Fax:732-566-2482
Practice Address - Street 1:428 LLOYD RD
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:NJ
Practice Address - Zip Code:07747-1552
Practice Address - Country:US
Practice Address - Phone:732-566-7711
Practice Address - Fax:732-566-2482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04193000207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ566436Medicare PIN