Portanova, Brian Joseph
Portanova, Brian Joseph is an individual health care provider with primary practice located at 45 Euclid St Ste 200 , Woodbury NJ 08096-4631. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Portanova, Brian Joseph can be contacted via phone (856) 628-4504.Contact Information
Primary practice address
45 Euclid St Ste 200
Woodbury NJ 08096-4631
Phone: (856) 628-4504
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 26NJ00628000 | New Jersey |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | SP015756 | Pennsylvania |
Profile Details
NPI number | 1336595800 |
---|---|
LBN Legal business name | Portanova, Brian Joseph |
Credentials | FNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 13th, 2016 |
Last updated | Jul 24th, 2020 - about 5 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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