Individual
RUBEN PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4TH & WALNUT STREETS, 2ND FLOOR WEST, LEBANON, PA 17042-6123
(717) 270-8875
(717) 270-2325
Mailing address
PO BOX 300, LEBANON, PA 17042-0300
(717) 270-7780
(717) 274-9746
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
PE133702
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010449210004
—
PA
01
—
02789600
CAPITAL BLUE CROSS
PA
01
—
133702FLT
MEDICARE
PA
01
—
573400
HIGHMARK BLUE SHIELD
PA
Enumeration date
08/26/2005
Last updated
06/05/2017
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