Basic Information
| Provider Information | |||||||||
| NPI: | 1003010935 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PERRY | ||||||||
| FirstName: | ALASDAIR | ||||||||
| MiddleName: | ANDREW | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 116 SOMERSET LN | ||||||||
| Address2: | |||||||||
| City: | MARLTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080534063 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8563576366 | ||||||||
| FaxNumber: | 2155692776 | ||||||||
| Practice Location | |||||||||
| Address1: | 10014 SANDMEYER LN | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191163502 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2159693752 | ||||||||
| FaxNumber: | 2156765779 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | DC009445 | PA | Y | Chiropractic Providers | Chiropractor |
No ID Information.