Individual
BRANDON JOSEPH PERUMPAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC GASTROENTEROLOGY, PHILADELPHIA, PA 19104
(267) 425-2739
Mailing address
3401 CIVIC CENTER BLVD, DIVISION OF PEDIATRIC GASTROENTEROLOGY, PHILADELPHIA, PA 19104
(267) 425-2739
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MT223468
PA
2080P0206X
Pediatric Gastroenterology Physician
Primary
MT223468
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/01/2021
Last updated
05/30/2024
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