Individual
DR. JOSEPH PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 MOUNT PROSPECT AVE, CLIFTON, NJ 07013-1900
(973) 574-9880
(973) 574-9819
Mailing address
50 MOUNT PROSPECT AVE, CLIFTON, NJ 07013-1900
(973) 574-9880
(973) 574-9819
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA46587
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11022326
RAILROAD MEDICARE
NJ
05
—
1569201
—
NJ
Enumeration date
10/04/2006
Last updated
01/11/2010
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