Organization
ENGLEWOOD FAMILY HEALTH CENTER, P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA M PORTILLA M.D. (MEDICAL DIRECTOR)
(201) 926-1828
Entity
Organization
Contact information
Practice address
148 ENGLE ST, ENGLEWOOD, NJ 07631-2581
(201) 569-1530
(201) 569-6022
Mailing address
148 ENGLE STREET, SUITE NUMBER 1, ENGLEWOOD, NJ 07631-2581
(201) 569-1530
(201) 569-6022
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0611859
—
NJ
01
—
G11493
UPIN
NJ
Enumeration date
10/10/2008
Last updated
05/10/2023
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