Individual
DR. RICARDO PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
18 E LAUREL RD, STRATFORD, NJ 08084-1327
(856) 566-6845
(856) 566-6906
Mailing address
151 FRIES MILL RD STE 301, TURNERSVILLE, NJ 08012-2016
(856) 513-4124
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB08216100
NJ
208M00000X
Hospitalist Physician
25MB08216100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0134317
—
NJ
01
—
222485120
TAX ID
—
01
—
P00476581
RAILROAD MEDICARE
NJ
Enumeration date
02/27/2007
Last updated
02/10/2020
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