Basic Information
| Provider Information | |||||||||
| NPI: | 1023052701 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PORTER | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | SHERMAN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1610 | ||||||||
| Address2: | |||||||||
| City: | CHADDS FORD | ||||||||
| State: | PA | ||||||||
| PostalCode: | 193170704 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6104590924 | ||||||||
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| Practice Location | |||||||||
| Address1: | ALBERT EINSTEIN MED. CENTER, DEPT. OF EMERGENCY MED. | ||||||||
| Address2: | 5501 OLD YORK ROAD | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19141 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2154566679 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | MD028719E | PA | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.