Individual
DR. SUSAN ELAINE PORIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
CANCER CENTER, SURGICAL ONCOLOGY, 205 SOUTH ORANGE AVE, NEWARK, NJ 07103
(973) 972-0670
Mailing address
185 SOUTH ORANGE AVE, MSB G-524, NEWARK, NJ 07103
(973) 972-6315
(973) 972-6803
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
71236
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3083667
—
MA
Enumeration date
05/28/2006
Last updated
12/01/2023
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