Individual
JUAN G PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 HOLLAND ST, SUITE 407, SOMERVILLE, MA 02144-2700
(978) 658-5577
(978) 658-5587
Mailing address
PO BOX 419, LYNNFIELD, MA 01940-0419
(978) 658-5577
(978) 658-5587
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
152751
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J18191
BCBS
MA
Enumeration date
11/18/2005
Last updated
07/16/2008
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