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Individual

DR. JAMES M PERRIN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 FRUIT ST, YAW 6, PEDIATRIC GROUP PRACTICE, BOSTON, MA 02114-2621
(617) 726-2728
(617) 724-3948
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
55849
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
055849
TUFTS HEALTH PLAN
MA
05
3011810
MA
01
J05731
BCBS MA
MA
Enumeration date
12/07/2005
Last updated
07/08/2007
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