Individual
DR. PERRY LEE COLVIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 N GREENE ST, BALTIMORE, MD 21201-1524
(410) 605-7217
Mailing address
9910 FRANKLIN SQUARE DR STE 2110, BALTIMORE, MD 21236-4902
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
30620
NC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
D0032548
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
416471700
—
MD
Enumeration date
09/15/2006
Last updated
10/02/2019
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