Robert Porcaro OD

NPI 1104981349 - Optometrist - 152W00000X

NPI Details
NPI 1104981349
Gender Male
Enumeration Date 12/27/2006
Last Updated 06/07/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
133 BROOKLINE AVE
BOSTON MA, 02215-3904, US
Phone (617) 421-1151
Fax (617) 421-8787
Business Location
147 MILK ST
BOSTON MA, 02109-4806, US
Phone (617) 421-2508
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Massachusetts
License Number 2943
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According to our database, Robert Porcaro OD NPI is 1104981349, taxonomy code is 152W00000X and license number is 2943, license state is located at Massachusetts. Robert Porcaro OD physically located at 133 Brookline Ave, Boston MA, 02215-3904. NPI Number Robert Porcaro OD has the Individual type.

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1104981349 NPI number is provided on an as is basis without warranty of any kind. 1104981349 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Porcaro OD are for informational purposes only.