Individual
CORNELIO PORRAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 BRIGHTON RD, 2ND FLOOR, CLIFTON, NJ 07012-1647
(973) 777-7911
(973) 777-5403
Mailing address
6 BRIGHTON RD, 2ND FLOOR, CLIFTON, NJ 07012-1647
(973) 777-7911
(973) 777-5403
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA06198100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7114001
—
NJ
Enumeration date
05/23/2006
Last updated
07/12/2019
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