Individual
AMY B PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2730
Mailing address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(216) 444-2200
(216) 445-8241
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
291490
MA
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
291490
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2015
Last updated
01/02/2024
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