Individual
ANTHONY PERRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1331 E WYOMING AVE, SUITE 4040, PHILADELPHIA, PA 19124-3808
(215) 537-7542
(215) 537-7884
Mailing address
1331 E WYOMING AVE, SUITE 4040, PHILADELPHIA, PA 19124-3808
(215) 537-7542
(215) 537-7884
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD060147L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007302
AETNA PPO MANAGED CARE
—
01
—
1058223
KEYSTONE MERCY HEALTHPLAN
—
01
—
21198960001
KEYSTONE LIAISON
—
01
—
2119896001
AMERIHEALTH ADMINISTRATOR
—
01
—
35061
INTERCOUNTY
—
01
—
4708888939
FIRST HEALTH CCN
—
01
—
47088939
MAMSI
—
01
—
P1134389
OXFORD
—
01
—
PC0137
HEALTH NET
—
Enumeration date
12/05/2005
Last updated
07/08/2007
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