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Individual

DR. JOSEPH M PORRES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
D44137
MD
207ND0900X
Dermatopathology Physician
D44137
MD
207NS0135X
Procedural Dermatology Physician
D44137
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
423500200
MD
Enumeration date
07/03/2006
Last updated
03/16/2011
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