Theodore B Porter in Philadelphia - Family Medicine
Theodore B Porter - NPI 1689672479
Theodore B Porter is a Family Medicine in Philadelphia, Pennsylvania. Theodore B Porter practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Theodore B Porter is 1689672479. The last update date is 2013-03-12.
Theodore B Porter's current location address is 1413 W Moyamensing Ave, Philadelphia, Pennsylvania. You can contact this provider via phone number 2676392555 and fax number 2676392632. The mailing address for Theodore B Porter is 1413 W Moyamensing Ave, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theodore B Porter |
|---|---|
| Address | 1413 W Moyamensing Ave, Philadelphia, Pennsylvania |
| Phone Number | 2676392555 |
| Fax Number | 2676392632 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1689672479 |
|---|---|
| Provider Enumeration Date | 2005-07-14 |
| Last Updated Date | 2013-03-12 |
Provider Mailing Address Detail
| Address | 1413 W Moyamensing Ave |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191454625 |
| Phone Number | 2676392555 |
| Fax Number | 2676392632 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | OS003735L |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Theodore B Porter?
The Theodore B Porter has been issued the NPI (National Provider Identifier) 1689672479 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Theodore B Porter?
The Theodore B Porter is situated at 1413 W Moyamensing Ave, in the city of Philadelphia, state of PA, with the zip code 191454625.
What is Theodore B Porter's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Theodore B Porter is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1689672479 to Theodore B Porter?
The Centers for Medicare & Medicaid Services originally issued the 1689672479 to Theodore B Porter on 2005-07-14.
When was the information regarding Theodore B Porter, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Theodore B Porter, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-03-12.
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