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Individual

JOSE M. PORTAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5251 JOHN TYLER HWY, SUITE 7, WILLIAMSBURG, VA 23185-2553
(757) 229-8660
(757) 258-8845
Mailing address
1322 JAMESTOWN RD, WILLIAMSBURG, VA 23185-3321
(757) 229-8660
(757) 258-8845

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101230626
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1932179538
VA
Enumeration date
01/25/2006
Last updated
01/15/2019
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