Individual
ROMAN PORTNOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75 FRANCIS ST, CWN L1, BOSTON, MA 02115-6110
(617) 732-8210
Mailing address
75 FRANCIS ST, CWN L1, BOSTON, MA 02115-6110
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
258334
MA
208D00000X
General Practice Physician
244628
MA
Other
Enumeration date
07/06/2010
Last updated
05/06/2014
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