Provider Demographics
NPI:1912122235
Name:PERLMAN, DANA B (CNM)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:B
Last Name:PERLMAN
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:723 ARDEN RD
Mailing Address - Street 2:
Mailing Address - City:JENKINTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19046-1524
Mailing Address - Country:US
Mailing Address - Phone:215-885-8189
Mailing Address - Fax:215-885-8534
Practice Address - Street 1:432 N 6TH ST
Practice Address - Street 2:ATTENTION MIDWIFERY
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19123-4004
Practice Address - Country:US
Practice Address - Phone:215-925-2400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMW008434L367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01624420Medicaid
PAS-48003Medicare UPIN
PA875278Medicare ID - Type Unspecified