| Doctor Name: | DR. BRITTANY PORTONOVA |
| NPI Number: | 1124373246 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | D.P.M. |
| License Number: | SC006405 |
| Business Practice Address: | 50 Moisey Dr Suite 202 Hazle Township, PA - 182029297 |
| Business Phone Number: | 5705016730 |
| Business Fax Number: | |
| Mailing Address: | 50 Moisey Dr, Suite 202 HAZLE TOWNSHIP |
| State: | PA |
| Postal Code: | 182029297 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/15/2012 |
| NPI Last Update Date: | 07/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | SC006405 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |