Individual
JAY W PORTER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3150 HIGHLAND RD, HERMITAGE, PA 16148-4516
(724) 342-1070
(724) 342-5220
Mailing address
3150 HIGHLAND RD, HERMITAGE, PA 16148-4516
(724) 342-1070
(724) 342-5220
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS011834
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019690620004
—
PA
Enumeration date
01/25/2006
Last updated
06/11/2025
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