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Individual

REBECCA PERRIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
4000 ROUTE 66, SUITE 125, TINTON FALLS, NJ 07753-7300
(732) 922-2105
(732) 922-2472
Mailing address
4000 ROUTE 66, SUITE 125, TINTON FALLS, NJ 07753-7300
(732) 922-2105
(732) 922-2472

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MB08221500
NJ
2080A0000X
Pediatric Adolescent Medicine Physician
25MB08221500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0249190
NJ
Enumeration date
08/17/2007
Last updated
12/02/2025
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