Individual
ANTONIO PORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1321 WASHINGTON ST STE 1, HOBOKEN, NJ 07030-5517
(201) 780-8039
(201) 907-4851
Mailing address
1321 WASHINGTON ST STE 1, HOBOKEN, NJ 07030-5517
(201) 780-8039
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00743100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073052452
MEDICARE
NJ
Enumeration date
02/17/2017
Last updated
09/26/2020
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