Individual
DR. MARK JACOB PERLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8262 SWEETCLOVER DR, INDIANAPOLIS, IN 46256-8116
(216) 570-3989
Mailing address
PO BOX 7068, MENLO PARK, CA 94026-7068
(216) 570-3989
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01064496A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200186490
—
IN
Enumeration date
07/17/2006
Last updated
01/25/2017
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