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Individual

DR. RICHARD ALLEN PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
311 N 4TH ST, SUITE 1, OAKLAND, MD 21550-1395
(301) 334-7855
(301) 334-7828
Mailing address
311 N 4TH ST, SUITE 1, OAKLAND, MD 21550-1371
(301) 334-7855
(301) 334-7828

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
H0064705
MD
207V00000X
Obstetrics & Gynecology Physician
H0064705
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
061576
CDS REG #
MD
01
H0064705
MARYLAND LICENSE
MD
Enumeration date
07/24/2006
Last updated
03/07/2023
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