Organization
JUSTIN I. PORTO, D.O. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN I PORTO MD (PHYSICIAN)
(518) 929-4005
Entity
Organization
Contact information
Practice address
287 ROUTE 41, FREEHOLD, NY 12431-6013
(518) 929-4005
Mailing address
287 ROUTE 41, FREEHOLD, NY 12431-6013
(518) 929-4005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
228982
NY
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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