| David F Porter D.o., P.a. | |
|
208 Boulevard Hasbrouck Heights NJ 07604-1849 | |
| (201) 288-0872 | |
| (201) 288-8180 |
| Full Name | David F Porter D.o., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 208 Boulevard, Hasbrouck Heights, New Jersey |
| Authorized Official Name and Position | David F Porter (DR.) |
| Authorized Official Contact | 2012880872 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David F Porter D.o., P.a. 208 Boulevard Hasbrouck Heights NJ 07604-1849 Ph: (201) 288-0872 | David F Porter D.o., P.a. 208 Boulevard Hasbrouck Heights NJ 07604-1849 Ph: (201) 288-0872 |
| NPI Number | 1477611507 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 02/04/2009 |
| Medicare PECOS PAC ID | 5799852976 |
|---|---|
| Medicare Enrollment ID | O20080930000604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477611507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MB306740 (New Jersey) | Primary |
| Provider Name | David F Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588673180 PECOS PAC ID: 2163599333 Enrollment ID: I20080930000594 |
Osler Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 288 Boulevard Ste 2a, Hasbrouck Heights, NJ 07604 Phone: 201-288-6781 Fax: 201-288-2734 | |
Heights Home Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 288 Boulevard, Hasbrouck Heights, NJ 07604 Phone: 201-288-6781 Fax: 201-288-2734 | |
Osler At Home Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 288 Boulevard Ste 2, Hasbrouck Heights, NJ 07604 Phone: 201-426-6554 | |
Osler Health Aco Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 288 Boulevard, Hasbrouck Heights, NJ 07604 Phone: 201-341-4485 Fax: 201-288-4575 | |
Osler Health Ipa Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 288 Boulevard, Hasbrouck Heights, NJ 07604 Phone: 201-288-6858 Fax: 201-288-4575 | |
Heights Medical Associates Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 288 Boulevard, Hasbrouck Heights, NJ 07604 Phone: 201-288-6781 Fax: 201-288-2734 |