Individual
CHERYL PORTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 833-7208
Mailing address
3 UNIVERSITY PLZ STE 205, HACKENSACK, NJ 07601-6208
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ00627500
NJ
Other
Enumeration date
03/31/2016
Last updated
08/16/2024
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