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Individual

LOUIS PHILLIP PORRECA

Active
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Individual

LOUIS PHILLIP PORRECA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA12215500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1028073
NJ
Enumeration date
04/25/2018
Last updated
06/15/2026
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