Del Porto, George Bernard

Del Porto, George Bernard is an individual health care provider with primary practice located at 1470 Tobias Gadson Blvd Suite 201, Charleston SC 29407-4707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Del Porto, George Bernard can be contacted via phone (843) 556-7060.

Contact Information

Primary practice address
1470 Tobias Gadson Blvd Suite 201 Charleston SC 29407-4707
Fax: (843) 556-9960
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 6467 South Carolina

Profile Details

NPI number 1689673881
LBN Legal business name Del Porto, George Bernard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Aug 27th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689673881 NPPES
South Carolina MEDICAID 064673
South Carolina Other 20 4068094
South Carolina Other 1633327071

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