Individual
DR. RICHARD B PORWANCHER
Active
Individual
DR. RICHARD B PORWANCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MA40394
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0148186000
KEYSTONE
—
01
—
142409
AMERIHEALTH
—
01
—
223381766
TAX ID
—
01
—
33891
AETNA ID
—
05
—
3708306
—
NJ
01
—
4096880
AETNA
—
01
—
440002476
RAILROAD MEDICARE
NJ
01
—
MEP089
OXFORD #
—
Enumeration date
08/01/2006
Last updated
05/15/2008
Update your record
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