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Individual

CLIFFORD SCOTT PERLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
333 COTTMAN AVENUE, FOX CHASE CANCER CENTER, PHILADELPHIA, PA 19111
(215) 728-6900
(215) 214-3992
Mailing address
333 COTTMAN AVENUE, MEDICAL STAFF OFFICE, PHILADELPHIA, PA 19111
(215) 728-6900
(215) 214-3992

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
223904
MA
207NS0135X
Procedural Dermatology Physician
Primary
MD428937
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1017025750001
PA
Enumeration date
10/31/2005
Last updated
02/13/2015
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