Individual
DR. MARTHA STEWARD PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
260 INTERNATIONAL CIR, SAN JOSE, CA 95119-1130
(408) 972-7000
Mailing address
14395 SYCAMORE AVE, SAN MARTIN, CA 95046-9301
(408) 683-2002
(408) 683-2002
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G21045
CA
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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