Individual
DR. JASON MARK PERKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
538 LITCHFIELD ST, SUITE G-02, TORRINGTON, CT 06790-6669
(860) 489-5068
(860) 489-3725
Mailing address
487 MILTON RD, GOSHEN, CT 06756-1611
(860) 491-1012
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
037971
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001379719
—
CT
Enumeration date
10/12/2005
Last updated
06/09/2011
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