Individual
RONALD PETER PORTADIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3980 BLACK HORSE PIKE, MAYS LANDING, NJ 08330-3107
(609) 625-1600
(609) 625-2610
Mailing address
PO BOX 536, VOORHEES, NJ 08043-0536
(856) 669-6050
(856) 651-0794
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
25MA02273800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0277801
—
NJ
Enumeration date
09/19/2005
Last updated
08/03/2010
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