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Individual

ROBERT PORCARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
147 MILK ST, BOSTON, MA 02109-4806
(617) 654-7150
(617) 654-7169
Mailing address
147 MILK ST, BOSTON, MA 02109-4806
(617) 654-7150
(617) 654-7169

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2943
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0014529
NHP
MA
01
002943
TUFTS
MA
05
0313769
MA
01
5279604-002
CIGNA
MA
01
E119
HPHC
MA
01
W15694
BCBS
MA
Enumeration date
12/27/2006
Last updated
01/07/2021
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