Organization
FRANCIS R. PORTER MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCIS RICHARD PORTER M.D. (SOLE PROPRIETOR)
(781) 395-0126
Entity
Organization
Contact information
Practice address
352 MAIN ST, MEDFORD, MA 02155-6157
(781) 395-0126
(781) 395-7170
Mailing address
352 MAIN ST, MEDFORD, MA 02155-6157
(781) 395-0126
(781) 395-7170
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
47314
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0145653
—
MA
01
—
65039
HARVARD PILGRIM HEALTHCARE
MA
01
—
70010000B30164
BLUE CROSS/BLUE SHIELD (BC/BS)
MA
01
—
739971
TUFTS ASSOCIATED HEALTH PLAN (TAHP)
MA
01
—
739971
TUFTS ASSOCIATED HEALTH PLAN (TAHP)
—
Enumeration date
03/08/2010
Last updated
03/08/2010
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