Individual provider · Type 1 NPI
Brittany Portonova, D.P.M.
Foot & Ankle Surgery Podiatrist · Hazle Township, PA
NPI number
1124373246
Active
Practice location
50 Moisey Dr Ste 204
Hazle Township, PA 18202-9297
Mailing address
PO Box 783311
Philadelphia, PA 19178-3311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | SC006405 (PA) |
Foot & Ankle Surgery Podiatrist: Definition to come...
About NPI 1124373246
Brittany Portonova, D.P.M.'s National Provider Identifier is 1124373246, issued on Jul 15, 2012. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Hazle Township, PA. The record was last updated on Mar 2, 2020.