Perlis, Clifford Scott

Perlis, Clifford Scott is an individual health care provider with primary practice located at 333 Cottman Avenue Fox Chase Cancer Center, Philadelphia PA 19111. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Procedural Dermatology is his primary health care specialty. Perlis, Clifford Scott can be contacted via phone (215) 728-6900.

Contact Information

Primary practice address
333 Cottman Avenue Fox Chase Cancer Center Philadelphia PA 19111
Fax: (215) 214-3992
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 223904 Massachusetts
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X MD428937 Pennsylvania

Profile Details

NPI number 1548251481
LBN Legal business name Perlis, Clifford Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Feb 13th, 2015 - about 9 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 1548251481 NPPES
Pennsylvania MEDICAID 1017025750001

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