Individual
DR. THOMAS ANDREW PERKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
658 BOULEVARD ST, DOVER, OH 44622-2027
(330) 343-3213
Mailing address
658 BOULEVARD ST, DOVER, OH 44622-2027
(330) 343-3213
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
34.007172
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2356052
—
OH
01
—
380618
ANTHEM
OH
01
—
41-218643600
BWC
OH
Enumeration date
04/19/2006
Last updated
12/09/2013
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