Organization
INFECTIOUS DISEASE CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD B PORWANCHER MD (PRESIDENT)
(609) 581-2000
Entity
Organization
Contact information
Practice address
1245 WHITEHORSE MERCERVILLE RD, SUITE 411, MERCERVILLE, NJ 08619-3831
(609) 581-2000
(609) 581-5450
Mailing address
1245 WHITEHORSE MERCERVILLE RD, SUITE 411, MERCERVILLE, NJ 08619-3831
(609) 581-2000
(609) 581-5450
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3302709
—
NJ
01
—
DG9196
RAILROAD MEDICARE
NJ
Enumeration date
04/04/2006
Last updated
05/15/2008
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