Individual provider · Type 1 NPI
Jeanette Marie Porter, PHYSICIAN ASSISTANT
Surgical Physician Assistant · Sparta, NJ
NPI number
1679662480
Active
Practice location
540 Lafayette Rd, Suite D
Sparta, NJ 07871-3497
Fax (973) 383-6236
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 3500 (AZ) |
| Surgical Physician Assistant | 363AS0400X | 3500 (AZ) |
| Surgical Physician Assistant Primary | 363AS0400X | 25MP00223600 (NJ) |
Surgical Physician Assistant: Definition to come...
11 other providers at this address
- Advocare, LLCOrthopaedic Surgery Physician Sparta, NJ NPI 1881035699
- John Vitolo, M.d. P.c.Specialist Sparta, NJ NPI 1437349644
- Prompts and PawsSpeech-Language Pathologist Sparta, NJ NPI 1043956212
- Richard N. Siegfried, Md, LLCPain Medicine (Anesthesiology) Physician Sparta, NJ NPI 1033529706
- Alyssa AbreuSpeech-Language Pathologist Sparta, NJ NPI 1093636268
- Brian Kokulak, DPTPhysical Therapist Sparta, NJ NPI 1396129037
- Gabrielle A. Gordon, DPTPhysical Therapist Sparta, NJ NPI 1023264660
- Jennifer D. Moore, EDD, CCC-SLPSpeech-Language Pathologist Sparta, NJ NPI 1144528662
- John F. Messina, PASurgical Physician Assistant Sparta, NJ NPI 1568575819
- Steven Michael Storch, PA-CPhysician Assistant Sparta, NJ NPI 1932397916
- Tracy L. Mascilak, PTPhysical Therapist Sparta, NJ NPI 1669668075
Other surgical physician assistant providers in Sparta
About NPI 1679662480
Jeanette Marie Porter, PHYSICIAN ASSISTANT's National Provider Identifier is 1679662480, issued on Oct 11, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Sparta, NJ. The record was last updated on Oct 1, 2009.