Individual
PATRICIA M. PEROSIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
559 W GERMANTOWN PIKE, EAST NORRITON, PA 19403-4250
(484) 622-1435
Mailing address
PO BOX 820137, PHILADELPHIA, PA 19182-0137
(610) 270-2009
(610) 270-2358
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD073054L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018669310001
—
PA
01
—
0192149000
AMERIHEALTH/INTERCOUNTY
PA
01
—
1029017
KEYSTONE MERCY HP
PA
01
—
220030505
RRM
PA
01
—
464420
HIGHMARK BLUE SHIELD
PA
01
—
9844399
CIGNA HMO/PPO
PA
01
—
MD073054L
HEALTH PARTNERS
PA
Enumeration date
04/12/2006
Last updated
10/15/2012
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