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1487769923
DIANA M PORTILLA
ENGLEWOOD, NJ
NPI
1487769923
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: NJ 25MA08154700)
Enumeration Date
2006-08-21
Last Update Date
2010-03-03
Business Address
-- DIANA M PORTILLA MD
148 ENGLE ST
ENGLEWOOD, NJ 07631-2581
Phone number: 201-569-1530
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Mailing Address
-- DIANA M PORTILLA MD
148 ENGLE ST
ENGLEWOOD, NJ 07631-2581
Phone number: 201-569-1530
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