Individual
DR. JONATHAN G PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 MOISEY DR STE 214, HAZLE TOWNSHIP, PA 18202-9297
(570) 501-6900
(570) 501-6945
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD464189
PA
208600000X
Surgery Physician
MT204938
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103532895-0001
—
PA
Enumeration date
06/14/2013
Last updated
02/19/2020
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