Basic Information
Provider Information
NPI: 1023225869
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PERLOFF
FirstName: SARAH
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 101 E OLNEY AVE
Address2: SUITE 400
City: PHILADELPHIA
State: PA
PostalCode: 191202421
CountryCode: US
TelephoneNumber: 2154567000
FaxNumber: 2152542599
Practice Location
Address1: 5401 OLD YORK RD
Address2: KLEIN BLDG. SUITE 331
City: PHILADELPHIA
State: PA
PostalCode: 191413030
CountryCode: US
TelephoneNumber: 2154566948
FaxNumber: 2154551933
Other Information
ProviderEnumerationDate: 05/17/2007
LastUpdateDate: 03/27/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RI0200XOS014116PAY Allopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease

No ID Information.


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