Individual
EMMA POROGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D D.O
Contact information
Practice address
2690 KENNEDY BLVD, JERSEY CITY, NJ 07306-5804
(201) 451-1601
(201) 451-2031
Mailing address
97 GIFFORDS LN, STATEN ISLAND, NY 10308-2011
(516) 317-9082
(201) 451-2031
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB07446800
NJ
Other
Enumeration date
09/22/2006
Last updated
06/30/2010
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