BRIAN JOSEPH PORTANOVA

WOODBURY, NJ
NPI1336595800
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NJ  26NJ00628000)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: PA  SP015756)
Enumeration Date2016-05-13
Last Update Date2020-07-24
Business Address
BRIAN JOSEPH PORTANOVA FNP-BC
45 EUCLID ST STE 200
WOODBURY, NJ 08096-4631
Phone number: 856-628-4504
Mailing Address
BRIAN JOSEPH PORTANOVA FNP-BC
45 EUCLID ST STE 200
WOODBURY, NJ 08096-4631
Phone number: 856-628-4504