Individual
PATRICK V. PERIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
553 CEDAR LN STE A, TEANECK, NJ 07666-1712
(201) 836-6400
(201) 836-0399
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
25MA05507300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0431711
—
NJ
01
—
651311ZKRP
MEDICARE PTAN
NJ
Enumeration date
11/01/2006
Last updated
10/30/2023
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