Individual
DR. ANTONIO R PEREZ-ATAYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BADER 1, BOSTON, MA 02115-5724
(617) 355-7431
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
43903
MA
207ZP0213X
Pediatric Pathology Physician
43903
MA
Other
Enumeration date
08/11/2006
Last updated
08/20/2007
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