Joseph Victor Portale, MD | |
1 Capital Way, Pennington, NJ 08534-2520 | |
(609) 303-4010 | |
Not Available |
Full Name | Joseph Victor Portale |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 1 Capital Way, Pennington, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255505350 | NPI | - | NPPES |
0266434 | Medicaid | NJ | |
102613710 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD441922 (Pennsylvania) | Secondary |
207P00000X | Emergency Medicine | 25MA09236400 (New Jersey) | Primary |
Entity Name | Princeton Healthcare Affiliated Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518194323 PECOS PAC ID: 2567598022 Enrollment ID: O20100413000141 |
Entity Name | Emergency Physician Services Of New Jersey,professional Association |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831539568 PECOS PAC ID: 1052554177 Enrollment ID: O20130821000326 |
Entity Name | Capital Health Multispecialty Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083072342 PECOS PAC ID: 1850689894 Enrollment ID: O20161007000162 |
Mailing Address | Practice Location Address |
---|---|
Joseph Victor Portale, MD 1 Capital Way, Pennington, NJ 08534-2520 Ph: (609) 303-4010 | Joseph Victor Portale, MD 1 Capital Way, Pennington, NJ 08534-2520 Ph: (609) 303-4010 |
Dr. Jessica Lynn Williams, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Capital Way, Pennington, NJ 08534 Phone: 609-303-4010 Fax: 609-537-6168 | |
Yoganand Deendyal, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Capital Way, Pennington, NJ 08534 Phone: 609-303-4000 | |
Brian C. Tucker, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Capital Way, Pennington, NJ 08534 Phone: 609-303-4010 Fax: 609-537-6168 | |
Carlos Vaca, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Capital Way, Pennington, NJ 08534 Phone: 609-303-4010 Fax: 609-537-6168 | |
Saadia Mohsin, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Capital Way, Pennington, NJ 08534 Phone: 609-303-4000 | |
Jane S Wu, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Capital Way, Pennington, NJ 08534 Phone: 609-303-4010 Fax: 609-537-6168 |