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Contact Information

ANDREA S PORTO, DO
1125 ATLANTIC AVE
ATLANTIC CITY, NJ08401
 Phone: 609-348-0066
 Fax: 609-348-1157
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for ANDREA S PORTO · (Female)

NPI Number 1972687085
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 10/25/2006
Last updated 05/22/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MB06634300
  • NJ License # MB06634300
  • MD Medicaid 7666021
  • NJ Medicaid 8255300
  • NY Medicaid 02588172
  • PA Medicaid 001776870
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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