Individual
DR. ANTHONY PERA MERZA
Active
Individual
DR. ANTHONY PERA MERZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
036067060
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031603386
BLUE CROSS BLUE SHIELD
IL
05
—
036067060
—
IL
01
—
100004712
RAIL ROAD MEDICARE
IL
01
—
K02230
MEDICARE PIN
IL
Enumeration date
03/20/2007
Last updated
05/28/2013
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