Individual
DR. CYNTHIA T PORTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
108 HARBOURSIDE, WILLIAMSBURG, VA 23188-8004
(757) 229-9378
Mailing address
108 HARBOURSIDE, WILLIAMSBURG, VA 23188-8004
(757) 229-9378
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101042609
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010099765
—
VA
Enumeration date
02/22/2006
Last updated
05/20/2009
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