Individual
MATTHEW BEARD PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
228 BROAD ST FL 1, PROVIDENCE, RI 02903-4188
(401) 861-2403
(401) 521-1145
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
(401) 780-2565
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
LP04638
RI
207Q00000X
Family Medicine Physician
Primary
MD18756
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2019
Last updated
02/17/2026
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