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Individual

LOUIS PHILLIP PORRECA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1001 RT. 73 NORTH, MAIN LEVEL, MARLTON, NJ 08053
(856) 988-3444
(856) 988-0553
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 988-3444
(856) 988-0553

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
02/18/2026
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