Individual
DR. MARK A TERRELONGE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
505 PARNASSUS AVE, BOX 0114, SAN FRANCISCO, CA 94143-2204
(415) 476-3891
Mailing address
505 PARNASSUS AVE, BOX 0114, SAN FRANCISCO, CA 94143-2204
(415) 476-3891
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
A146489
CA
2084N0400X
Neurology Physician
Primary
A146489
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2015
Last updated
05/04/2020
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