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Individual

DR. JOSEPH LEWIS PEREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 E MAIN ST, 10TH FLOOR-HSWL OPERATIONAL MEDICINE, NORFOLK, VA 23510-1753
(757) 628-4338
(877) 991-6134
Mailing address
173 GREENGABLE WAY, CHESAPEAKE, VA 23322-4274
(917) 686-0201
(877) 991-6134

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
050357
CT
207Q00000X
Family Medicine Physician
MD10974
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
31406-0
BCBS RI
RI
01
413300
BLUE CHIP
RI
05
7058508
RI
Enumeration date
01/09/2006
Last updated
12/20/2014
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