Individual
KATHERINE PORTERFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
211 ESSEX ST STE 402, HACKENSACK, NJ 07601-3246
(201) 301-2772
Mailing address
747 NEWCOMB RD, RIDGEWOOD, NJ 07450-5522
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
033284
NY
363A00000X
Physician Assistant
Primary
25MP00915800
NJ
Other
Enumeration date
02/17/2025
Last updated
05/30/2025
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