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Individual

DR. ANDREA S. PORTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1125 ATLANTIC AVE, ATLANTIC CITY, NJ 08401
(609) 348-0066
(609) 348-1157
Mailing address
PO BOX 1309, MARLTON, NJ 08053-6309
(609) 567-0200
(609) 704-5615

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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