Individual
DR. JOHN ALFRED PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4 COULTER RD, #58, CLIFTON SPRINGS, NY 14432-1122
(315) 462-1485
(315) 462-2619
Mailing address
601 ELMWOOD AVE, BOX 652, ROCHESTER, NY 14642-0001
(585) 275-7741
(585) 756-7750
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
146697
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062375
—
NY
01
—
X70002
GENEVA GENERAL HOSPITAL
NY
Enumeration date
06/30/2006
Last updated
12/07/2007
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