Individual
DR. JEFFREY MICHAEL PERCAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1430 TULANE AVE, NEW ORLEANS, LA 70112
(504) 988-5263
Mailing address
1430 TULANE AVE, SL-8587, NEW ORLEANS, LA 70112
(504) 988-7316
(504) 988-3644
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MD.203841
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1156388
—
LA
Enumeration date
05/13/2008
Last updated
10/17/2017
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