Individual
MATTHEW MICHAEL PORCELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7777 HENNESSY BLVD STE 301, BATON ROUGE, LA 70808-0319
(225) 214-6436
Mailing address
7777 HENNESSY BLVD STE 301, BATON ROUGE, LA 70808-0319
(225) 214-6436
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
305358
LA
207L00000X
Anesthesiology Physician
R3736
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2012
Last updated
10/17/2018
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