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Individual

DR. ALTAGRACIA JOSEFINA PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA,SU, FOREIGN MD

Taxonomy

Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
012984
NY
246Q00000X
Pathology Specialist/Technologist
Primary
SU41493
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
M.D. 3907
FOREIGN M.D. & PATHOLOGIST (DOM. REP.)
Enumeration date
12/28/2012
Last updated
07/21/2022
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