Robert J Porte M.D.

NPI 1053503201 - Family Medicine - 207Q00000X

NPI Details
NPI 1053503201
Gender Male
Enumeration Date 08/13/2007
Last Updated 11/12/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
1619 W 5TH AVE
GARY IN, 46404-1506, US
Phone (219) 886-4788
Fax
Business Location
PO BOX 4787
GARY IN, 46404-0787, US
Phone (219) 886-4788
Fax (219) 886-4106
Toxanomy
Taxonomy Code 207Q00000X
License State Indiana
License Number 01029347A
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According to our database, Dr. Robert J Porte M.D. NPI is 1053503201, taxonomy code is 207Q00000X and license number is 01029347A, license state is located at Indiana. Robert J Porte M.D. physically located at 1619 W 5th Ave, Gary IN, 46404-1506. NPI Number Robert J Porte M.D. has the Individual type.

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1053503201 NPI number is provided on an as is basis without warranty of any kind. 1053503201 is maintained by the National Plan & Provider Enumeration System. The contents of Robert J Porte M.D. are for informational purposes only.