Dr. Mark Jacob Perlow, M.D.
Psychiatry & Neurology, Neurology in Indianapolis, IN. Individual provider (NPI-1).
NPI number1619994100
StatusActive
Last updated in NPPESJan 25, 2017
Details
- NPI
- 1619994100
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark Jacob Perlow
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 17, 2006
- Last updated
- Jan 25, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 01064496A | IN | Yes |
Practice location
8262 Sweetclover DrIndianapolis, IN 46256-8116
Phone 216-570-3989
Mailing address
Po Box 7068Menlo Park, CA 94026-7068
Phone 216-570-3989
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