Individual
DANIEL A. PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(215) 662-9563
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4206
(215) 662-9563
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC006268
PA
390200000X
Student in an Organized Health Care Education/Training Program
SC006268
PA
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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