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Individual

DR. ADAM ERIC PERLMUTTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1919 LAKE AVE STE 104, PLYMOUTH, IN 46563-7830
(574) 948-5390
(574) 948-5473
Mailing address
707 CEDAR ST STE 405, SOUTH BEND, IN 46617-2059

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
02003333A
IN
208800000X
Urology Physician
2040
WV
208800000X
Urology Physician
244682
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02883416
NY
05
200905870
IN
Enumeration date
02/12/2007
Last updated
11/16/2023
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