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Individual

ROBERT A PORTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
18947 JOHN J WILLIAMS HWY UNIT 210, REHOBOTH BEACH, DE 19971-4476
(302) 645-3121
Mailing address
424 SAVANNAH ROAD, LEWES, DE 19958-4476
(302) 645-3300
(302) 645-3428

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
C10003106
DE
207QA0505X
Adult Medicine Physician
Primary
C10003106
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000396301
DE
Enumeration date
01/10/2006
Last updated
03/17/2018
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