Individual
MRS. BERNADETTE PORTERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
120 FIELDCREST AVE, EDISON, NJ 08837-3656
(732) 346-2600
Mailing address
260 BUTTERFLY RD, JACKSON, NJ 08527-2838
(732) 833-7040
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02321900
NJ
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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