Provider Demographics
NPI:1023052701
Name:PORTER, ROBERT SHERMAN (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:SHERMAN
Last Name:PORTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1610
Mailing Address - Street 2:
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317-0704
Mailing Address - Country:US
Mailing Address - Phone:610-459-0924
Mailing Address - Fax:
Practice Address - Street 1:ALBERT EINSTEIN MED. CENTER, DEPT. OF EMERGENCY MED.
Practice Address - Street 2:5501 OLD YORK ROAD
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141
Practice Address - Country:US
Practice Address - Phone:215-456-6679
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD028719E207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine