Individual
ANNE M. PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
HUNTERDON DEVELOPMENTAL CENTER, 40 PITTSTOWN ROAD, CLINTON, NJ 08809-4003
(908) 735-4031
(908) 730-1340
Mailing address
HUNTERDON DEVELOPMENTAL CENTER, 40 PITTSTOWN ROAD, CLINTON, NJ 08809-4003
(908) 735-4031
(908) 730-1340
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07842600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
095895B1L
MEDICARE BILLING NO.
NJ
Enumeration date
06/22/2006
Last updated
11/27/2007
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