Individual
DR. STEVEN JEFFREY PERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
189 PROUTY DR, NEWPORT, VT 05855-9326
(802) 334-7331
Mailing address
1289 OAK TERRACE LN, POTTSVILLE, PA 17901-3338
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD049626L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1411154
—
PA
01
—
51854
BLUE SHIELD
PA
Enumeration date
12/07/2005
Last updated
04/27/2021
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