Individual
DR. THOMAS PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 MOUNT LEBANON BLVD, PITTSBURGH, PA 15234-1243
(412) 561-7541
(412) 561-2366
Mailing address
240 MOUNT LEBANON BLVD, PITTSBURGH, PA 15234-1243
(412) 561-7541
(412) 561-2366
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD-072074-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001830189
—
PA
Enumeration date
04/03/2006
Last updated
09/20/2011
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