Individual
PASCALE PERUSSE I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
67 BELMONT ST, SUITE #103, WORCESTER, MA 01605-2657
(508) 852-7200
(508) 852-7201
Mailing address
67 BELMONT ST, SUITE #103, WORCESTER, MA 01605-2657
(508) 852-7200
(508) 852-7201
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
57200
MA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
57200
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3017877
—
MA
Enumeration date
08/24/2006
Last updated
11/02/2011
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