Individual
DR. JOSEPH L. PORTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
3601 STATE RD, DREXEL HILL, PA 19026-2525
(610) 789-3600
(610) 789-6604
Mailing address
3601 STATE RD, DREXEL HILL, PA 19026-2525
(610) 789-3600
(610) 789-6604
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC001861L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000507706
—
PA
01
—
0032740000
KEYSTONE HMO
PA
01
—
480000786
RAILROAD
PA
Enumeration date
05/24/2005
Last updated
06/18/2010
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