Individual
JOSEPH ANTHONY PORCELLO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
96 BELMOHR ST, BELLEVILLE, NJ 07109-2202
(973) 450-1648
(973) 751-3898
Mailing address
549 POMPTON AVE, CEDAR GROVE, NJ 07009-1720
(973) 450-1648
(973) 751-3898
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00065100
NJ
Other
Enumeration date
04/27/2006
Last updated
07/08/2007
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