Individual
DR. W. VINCENT PERRELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
671 MAIN ST, WALTHAM, MA 02451-0602
(781) 647-3040
(781) 647-3044
Mailing address
8 COMMON ST, WALTHAM, MA 02451-4421
(781) 647-3040
(781) 647-3044
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
32113
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2007568
—
MA
Enumeration date
07/28/2005
Last updated
01/04/2010
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