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1508354531
LOUIS PHILLIP PORRECA
MARLTON, NJ
NPI
1508354531
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: NJ 25MA12215500)
Enumeration Date
2018-04-25
Last Update Date
2024-11-12
Business Address
LOUIS PHILLIP PORRECA
1001 RT. 73 NORTH, MAIN LEVEL & UPPER LEVEL A
MARLTON, NJ 08053
Phone number: 856-988-3444
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Mailing Address
LOUIS PHILLIP PORRECA
301 LIPPINCOTT DR STE 410
MARLTON, NJ 08053-4197
Phone number: 856-988-3444
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