Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THEODORE B PORTER, D.O.

Active Sole Proprietor

THEODORE B PORTER, D.O. is a Family Medicine healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1689672479 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · PHILADELPHIA, PA

Registration Details

NPI Number: 1689672479
Provider Type: Individual
Gender: Male
NPI Issued: Jul 14, 2005 (21.082248224316 yrs)
Last Updated: Mar 12, 2013
License: OS003735L (PA)
Sole Proprietor: Yes

Practice Information

Address: 1413 W MOYAMENSING AVE

1ST FLOOR

PHILADELPHIA, PA, 191454625
Browse PA providers · Browse ZIP 19145
Phone: 2676392555
Fax: 2676392632
Primary Specialty: Family Medicine
207Q00000X

Other Family Medicine Providers in PHILADELPHIA, PA

Name	Credential	NPI
DR. VINCENT J THOMPSON III	M.D.	1174526180
DR. LAURA ANNE MURRAY	D.O.	1306849666
DR. JOSEPH P DIRENZO JR.	DO	1811991292
DR. CARL NELSON LIEDMAN	D.O.	1164427910
ADELAIDA MERKER	D.O.	1104821727
DR. KENNETH L JACOBSON	MD	1811993363

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.