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Organization

DENNIS A PORTO MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DENNIS A PORTO MD (OWNER/CEO)
(508) 478-2610
Entity
Organization

Contact information

Practice address
1 MAPLE ST STE 2, MILFORD, MA 01757-5614
(508) 478-2610
Mailing address
200 BROOKLINE AVE UNIT 707, BOSTON, MA 02215-3953
(515) 201-7667

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
207ND0101X
MOHS-Micrographic Surgery Physician
207ND0900X
Dermatopathology Physician
207NS0135X
Procedural Dermatology Physician

Other

Enumeration date
08/24/2020
Last updated
08/24/2020
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