Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0204X | Pediatric Emergency Doctor | 226905 | NY |
Y | 2080P0206X | Pediatric Gastroenterologist | 045284 | CT |
NPI | 1083761803 |
---|---|
Provider Name | Anthony F Porto |
First Address | New Haven, CT 06504-8901 |
Second Address | Bronx, NY 10467-2401 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2007 |
Last Update Date | 07/09/2016 |