Individual
DR. MAURICE CLIVE PERRY
Active
Individual
DR. MAURICE CLIVE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD064604L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001365081
—
PA
01
—
047809YYY
MEDICARE PTAN
PA
01
—
231855378
TAX ID - LANC RADIOLOGY
PA
01
—
300121888
RAILROAD MEDICARE
PA
01
—
33-1011386
TAX ID - MRI GROUP, LLP
PA
Enumeration date
08/09/2005
Last updated
09/26/2024
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