Organization
JOSE E. PERAZA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE E PERAZA M.D. (PHYSICIAN)
(603) 542-6455
Entity
Organization
Contact information
Practice address
252 BROAD ST, CLAREMONT, NH 03743-2636
(603) 542-6455
(603) 543-0736
Mailing address
252 BROAD ST, CLAREMONT, NH 03743-2636
(603) 542-6455
(603) 543-0736
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5762
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006958
—
VT
05
—
82076958
—
NH
Enumeration date
05/09/2008
Last updated
09/29/2008
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