Individual
JOSEPH VICTOR PORTALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(609) 303-4010
Mailing address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(609) 303-4010
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA09236400
NJ
207P00000X
Emergency Medicine Physician
MD441922
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0266434
—
NJ
05
—
102613710
—
PA
Enumeration date
04/18/2008
Last updated
10/05/2023
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