Individual
PHILLIP A PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
161 FOREST GLEN RD, LONGMEADOW, MA 01106-1116
(413) 530-9953
Mailing address
161 FOREST GLEN RD, LONGMEADOW, MA 01106-1116
(413) 530-9953
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
153426
MA
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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