LOUIS PHILLIP PORRECA

MARLTON, NJ
NPI1508354531
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: NJ  25MA12215500)
Enumeration Date2018-04-25
Last Update Date2024-05-30
Business Address
LOUIS PHILLIP PORRECA
1001 RT. 73 NORTH, MAIN LEVEL
MARLTON, NJ 08053
Phone number: 856-988-3444
Mailing Address
LOUIS PHILLIP PORRECA
301 LIPPINCOTT DR STE 410
MARLTON, NJ 08053-4197
Phone number: 856-988-3444