Provider Demographics
NPI:1912536905
Name:PERRY, MADELINE FRANCES (MD)
Entity type:Individual
Prefix:DR
First Name:MADELINE
Middle Name:FRANCES
Last Name:PERRY
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 SPRUCE ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4238
Mailing Address - Country:US
Mailing Address - Phone:513-532-9271
Mailing Address - Fax:
Practice Address - Street 1:3701 MARKET ST FL 3
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-5505
Practice Address - Country:US
Practice Address - Phone:215-662-6035
Practice Address - Fax:215-349-5228
Is Sole Proprietor?:No
Enumeration Date:2020-04-02
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD484974207V00000X
IL125076856207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology