Individual
LINDA M PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7604 CENTRAL AVE, LOWER LEVEL, PHILADELPHIA, PA 19111-2433
(215) 214-3100
(215) 214-3131
Mailing address
2450 W HUNTING PARK AVE, PHILADELPHIA, PA 19129-1302
(215) 214-4199
(215) 214-3131
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA052510
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA16553
—
CA
Enumeration date
08/24/2006
Last updated
05/05/2014
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