Individual
DR. BARBARA LEE PERLMUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
330 GRAND ST, HOBOKEN, NJ 07030-2728
(201) 963-5886
(201) 432-3608
Mailing address
204 SHEARWATER CT W, UNIT 34, JERSEY CITY, NJ 07305-5418
(201) 963-5886
(201) 432-3608
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
008974
ME
207R00000X
Internal Medicine Physician
131164
NY
207R00000X
Internal Medicine Physician
Primary
25MA03352200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01471241
—
NY
01
—
03305760781
MEDICAL EDUCATION NO.
—
01
—
12193
STATE DISABILITY ID NO.
NY
01
—
21A94
BLUE CROSS/BLUE SHIELD NO
NY
01
—
222261204
FEDERAL TAX ID NO.
—
01
—
2595791
PROVIDER ID NO.
NY
Enumeration date
08/11/2006
Last updated
09/27/2012
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