SIMONE PATRICE PORTER

BALTIMORE, MD
NPI1356510614
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: MD  D0066349)
Additional Taxonomies208000000X Pediatrics
(Licence: DC  MD037795)
208000000X Pediatrics
(Licence: VA  0101247864)
Enumeration Date2008-02-20
Last Update Date2011-12-02
Business Address
-- SIMONE PATRICE PORTER MD
7141 SECURITY BLVD WOODLAWN MEDICAL CENTER
BALTIMORE, MD 21244-1811
Phone number: 443-663-6167
Mailing Address
-- SIMONE PATRICE PORTER MD
2101 E JEFFERSON ST KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE, MD 20852-4908
Phone number: 301-816-2424