Individual
TIMOTHY PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 WASHINGTON ST, BOX #286, BOSTON, MA 02111-1552
(617) 636-6432
(617) 636-8391
Mailing address
800 WASHINGTON ST, BOX #286, BOSTON, MA 02111-1552
(617) 636-6432
(617) 636-8391
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
LP02490
RI
Other
Enumeration date
05/30/2012
Last updated
06/15/2015
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