Individual
DR. CARLOS R. PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-1339
(570) 271-6266
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
MD058902L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001587846
—
PA
Enumeration date
04/19/2006
Last updated
11/02/2016
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