Doctor Name: | DEMETRIOS A. PERDIKIS |
NPI Number: | 1831242536 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MA69882 |
Business Practice Address: | 8 Bridal Rose Ct Newtown, PA - 189401237 |
Business Phone Number: | 2158679028 |
Business Fax Number: | |
Mailing Address: | 8 Bridal Rose Ct, NEWTOWN |
State: | PA |
Postal Code: | 189401237 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 07/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | MA69882 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |