Healthcare Provider Details

I. General information

NPI: 1386616498
Provider Name (Legal Business Name): JOHN J PORRINO DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

952 TOWN CTR
NEW BRITAIN PA
18901-5182
US

IV. Provider business mailing address

952 TOWN CTR
NEW BRITAIN PA
18901-5182
US

V. Phone/Fax

Practice location:
  • Phone: 215-230-1990
  • Fax: 215-230-7305
Mailing address:
  • Phone: 215-230-1990
  • Fax: 215-230-7305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0S009240L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: