Provider Demographics
NPI:1053540740
Name:OZKER, PERI JEAN
Entity type:Individual
Prefix:
First Name:PERI
Middle Name:JEAN
Last Name:OZKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:116 HARVARD ST
Mailing Address - Street 2:
Mailing Address - City:NEWTONVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02460-2232
Mailing Address - Country:US
Mailing Address - Phone:617-527-5399
Mailing Address - Fax:
Practice Address - Street 1:116 HARVARD ST
Practice Address - Street 2:
Practice Address - City:NEWTONVILLE
Practice Address - State:MA
Practice Address - Zip Code:02460-2232
Practice Address - Country:US
Practice Address - Phone:617-527-5399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-02
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist