Individual
DR. JENNIFER P PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7201 WISCONSIN AVE, SUITE 515, BETHESDA, MD 20814-4810
(301) 652-8191
Mailing address
7201 WISCONSIN AVE, SUITE 515, BETHESDA, MD 20814-4810
(301) 652-8191
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
D0059521
MD
Other
Enumeration date
12/11/2006
Last updated
10/14/2015
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