Perez, Maria

Perez, Maria is an individual health care provider with primary practice located at 471 Barnum Ave , Bridgeport CT 06608-2409. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Perez, Maria can be contacted via phone (203) 333-6864.

Contact Information

Primary practice address
471 Barnum Ave Bridgeport CT 06608-2409
Phone: (203) 333-6864
Fax: (203) 332-0376
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001564 Connecticut

Profile Details

NPI number 1992705834
LBN Legal business name Perez, Maria
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jan 8th, 2010 - about 15 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 1992705834 NPPES
Connecticut Other 001564 STATE LICENSE

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