Individual
AUTUMN BREANNA PERDUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(610) 402-5369
(610) 402-5959
Mailing address
1424 KELCHNER RD, BETHLEHEM, PA 18018-1517
(540) 420-3978
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA062950
PA
Other
Enumeration date
10/08/2021
Last updated
10/08/2021
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