Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | MA 057356 | NJ |
NPI | 1033383898 |
---|---|
Provider Name | Lawrence Steven Perlow |
First Address | Bridgewater, NJ 08807-1410 |
Second Address | Bridgewater, NJ 08807-1410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2008 |
Last Update Date | 14/04/2008 |