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Individual

BRANDON B PORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PHD

Contact information

Practice address
315 S MANNING BLVD, ALBANY, NY 12208-1707
(518) 525-8600
Mailing address
315 S MANNING BLVD, ALBANY, NY 12208-1707
(518) 525-8600

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
253486
NY

Other

Enumeration date
05/23/2007
Last updated
04/27/2011
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