Individual
DR. ANDREA S. PORTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MB06634300
NJ
208M00000X
Hospitalist Physician
MB06634300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001776870
—
PA
05
—
02588172
—
NY
05
—
7666021
—
MD
05
—
8255300
—
NJ
Enumeration date
10/25/2006
Last updated
05/22/2025
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