Perry, Diana Vanessa
Perry, Diana Vanessa is an sole proprietor health care provider with primary practice located at 55 Fogg Road South Shore Medical Center, South Weymouth MA 02190. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Perry, Diana Vanessa can be contacted via phone (781) 340-8373.Contact Information
Primary practice address
55 Fogg Road South Shore Medical Center
South Weymouth MA 02190
Phone: (781) 340-8373
Fax: (781) 340-3699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 155376 | Massachusetts |
Profile Details
| NPI number | 1225029762 |
|---|---|
| LBN Legal business name | Perry, Diana Vanessa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Feb 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225029762 | NPPES |
| Massachusetts | MEDICAID | 0102440 | |
| Massachusetts | Other | 155376 |
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