Individual
MRS. SUSAN PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
601 N CAROLINE ST, 2ND FLOOR SUITE 2008, BALTIMORE, MD 21287-0006
(410) 955-7139
(410) 614-9586
Mailing address
601 N CAROLINE ST, BALTIMORE, MD 21287-0006
(410) 955-7140
(410) 614-9586
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R120121
MD
Other
Enumeration date
02/23/2006
Last updated
02/17/2014
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