Individual provider · Type 1 NPI

David J. Portonova, D.P.M

Foot & Ankle Surgery Podiatrist · Bloomsburg, PA

NPI number 1457606865 Active

Practice location

6850 Lows Rd Ste 316
Bloomsburg, PA 17815-8708

Fax (570) 387-2203

Mailing address

PO Box 1935
Kingston, PA 18704-0935

Other practice locations

  • 642 Brookhill Square, Route 93 Ste 36-1, Conyngham, PA 18219-0860 · (570) 359-2024
  • 87 Oxford St, Hanover Township, PA 18706-3350 · (570) 829-3668

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XSC006404 (PA)

Foot & Ankle Surgery Podiatrist: Definition to come...

2 other providers at this address

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About NPI 1457606865

David J. Portonova, D.P.M's National Provider Identifier is 1457606865, issued on Jul 23, 2012. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Bloomsburg, PA. The record was last updated on Sep 17, 2021.