Perez, Juan G

Perez, Juan G is an individual health care provider with primary practice located at 20 Holland St Suite 407, Somerville MA 02144-2700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Perez, Juan G can be contacted via phone (978) 658-5577.

Contact Information

Primary practice address
20 Holland St Suite 407 Somerville MA 02144-2700
Phone: (978) 658-5577
Fax: (978) 658-5587
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 152751 Massachusetts

Profile Details

NPI number 1982686325
LBN Legal business name Perez, Juan G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Jul 16th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982686325 NPPES
Massachusetts Other J18191 BCBS

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