Provider Demographics
NPI:1548258486
Name:PERELL, HOWARD FREDERICK (MD)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:FREDERICK
Last Name:PERELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:203 HOSPITAL DR
Mailing Address - Street 2:STE 306
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-6904
Mailing Address - Country:US
Mailing Address - Phone:410-760-0005
Mailing Address - Fax:410-760-1365
Practice Address - Street 1:203 HOSPITAL DR
Practice Address - Street 2:STE 306
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-6904
Practice Address - Country:US
Practice Address - Phone:410-760-0005
Practice Address - Fax:410-760-1365
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD35744207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A02596Medicare UPIN
MD533LMedicare PIN