Individual
IVAN PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4905 W TILGHMAN ST, SUITE 250, ALLENTOWN, PA 18104-9130
(484) 866-9583
(610) 366-1147
Mailing address
4905 W TILGHMAN ST, SUITE 250, ALLENTOWN, PA 18104-9130
(484) 866-9583
(610) 366-1147
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
OS014295
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
OS014295
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000242649
UNISON
PA
05
—
0162935
—
NJ
05
—
1021267570001
—
PA
01
—
118234
GEISINGER
PA
01
—
2022450
HIGHMARK
PA
01
—
35102264000
IND. BLUE CROSS
PA
01
—
50077668
CAPITAL ADVANTAGE
PA
01
—
823075
1ST HEALTH PRIORITY
PA
Enumeration date
12/19/2006
Last updated
03/28/2025
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