THEODORE B PORTER

PHILADELPHIA, PA
NPI1689672479
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: PA  OS003735L)
Enumeration Date2005-07-14
Last Update Date2013-03-12
Business Address
-- THEODORE B PORTER D.O.
1413 W MOYAMENSING AVE 1ST FLOOR
PHILADELPHIA, PA 19145-4625
Phone number: 267-639-2555
Mailing Address
-- THEODORE B PORTER D.O.
1413 W MOYAMENSING AVE 1ST FLOOR
PHILADELPHIA, PA 19145-4625
Phone number: 267-639-2555
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