Jennifer Portera

NPI #1578931432 in Marlboro, New Jersey

Provider Information

NPI Number: 1578931432
Entity Type: Individual
Name: Jennifer Portera
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Sep 9, 2015
Last Updated: Sep 9, 2015

Practice Location

Address: 8 BLUEBERRY HL
City: Marlboro
State: New Jersey
ZIP Code: 07746-2170
Phone: (917) 440-9878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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