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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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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