Individual
MICHAEL LOREN PERLMUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13 MATTHIAS LN, BARNSTABLE, MA 02630-1010
(202) 441-1284
(508) 362-3538
Mailing address
13 MATTHIAS LN, BARNSTABLE, MA 02630-1010
(202) 441-1284
(508) 362-3538
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
200324-1
NY
2085R0202X
Diagnostic Radiology Physician
Primary
73304
MA
2085R0202X
Diagnostic Radiology Physician
D0059804
MD
2085R0202X
Diagnostic Radiology Physician
MD00043973
WA
2085R0202X
Diagnostic Radiology Physician
MD34125
DC
2085R0202X
Diagnostic Radiology Physician
O101234179
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405606000
—
MD
01
—
470001526
RR MEDICARE
—
01
—
P00031112
RR MEDICARE
—
Enumeration date
12/05/2005
Last updated
11/11/2015
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