Perugini, Richard A

Perugini, Richard A is an individual health care provider with primary practice located at 55 Lake Ave N Department Of General Surgery, Worcester MA 01655-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Perugini, Richard A can be contacted via phone (508) 334-7656.

Contact Information

Primary practice address
55 Lake Ave N Department Of General Surgery Worcester MA 01655-0002
Phone: (508) 334-7656
Fax: (508) 856-7545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 152413 Massachusetts

Profile Details

NPI number 1124009857
LBN Legal business name Perugini, Richard A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Nov 9th, 2020 - about 6 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 1124009857 NPPES
Massachusetts MEDICAID 110004011A

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