Individual
DR. L. WIMAL PERERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3267 WATERSTREET RD, COLLEGEVILLE, PA 19426-1535
(610) 584-6085
Mailing address
3267 WATERSTREET RD, COLLEGEVILLE, PA 19426-1535
(610) 584-6085
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD038637L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265876
—
IA
Enumeration date
11/07/2005
Last updated
11/29/2012
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