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Provider Information for 1033290671

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. JOSEPH JOHN PORTALE DMD

Gender: MALE

Individual NPI: 1033290671

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1033290671
Enumeration Date 2006-10-18
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 555 BERGEN BLVD
RIDGEFIELD, NJ 07657-2020
United States

Phone: 201-945-5777 | Fax: 201-945-5667
View Map External Link
Primary Practice Address 555 BERGEN BLVD
RIDGEFIELD, NJ 07657-2020
United States

Phone: 201-945-5777 | Fax: 201-945-5667
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice NJ 22DI00945900