# PORTER NEONATAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912296682
- **Authorized official:** ROSARIO CHUA MD (PRESIDENT)
- **Authorized official phone:** (765) 446-9600

## Contact information

- **Practice address:** 814 LAPORTE AVE, VALPARAISO, IN 46383-5860
- **Practice address phone:** (219) 263-4600
- **Mailing address:** 2304 KOSSUTH ST, LAFAYETTE, IN 47904-3240
- **Mailing address phone:** (765) 446-9600
- **Mailing address fax:** (765) 446-1100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | NULL | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2011
- **Last updated:** 05/25/2011