MEDICARE: DR. BRITTANY PORTONOVA D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	SC006405	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124373246
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRITTANY PORTONOVA D.P.M.

Provider Business Mailing Address
First Line	:	PO BOX 783311
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19178-3311
Country	:	US
Telephone Number	:	484-884-4500
Fax Number	:	484-884-0699

Provider Business Practice Location Address
First Line	:	50 MOISEY DR STE 204
Second Line	:
City	:	HAZLE TOWNSHIP
State	:	PA
Zip	:	18202-9297
Country	:	US
Telephone Number	:	570-501-6730
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/15/2012
Last Update Date	:	03/02/2020

Similar Medicare Providers

1023018488 — DARREN JOSEPH HOHN DO
Practice Location Address:

50 MOISEY DR STE 202
HAZLE TOWNSHIP, PA
18202-9297

Practice Phone: 570-459-5030
Practice Fax: 570-459-5022

1134120025 — THOMAS POLLOCK DO
Practice Location Address:

50 MOISEY DR STE 202
HAZLE TOWNSHIP, PA
18202-9297

Practice Phone: 570-459-5030
Practice Fax: 570-459-5022

1952363400 — DR. PETER JOHN SPOHN MD
Practice Location Address:

50 MOISEY DR STE 202
HAZLE TOWNSHIP, PA
18202-9297

Practice Phone: 570-501-6730
Practice Fax: 570-501-3837

1700812666 — DR. ANTHONY MICHAEL CARRATO MD
Practice Location Address:

50 MOISEY DR STE 214
HAZLE TOWNSHIP, PA
18202-9297

Practice Phone: 570-501-6900
Practice Fax: 570-501-6945

1730328303 — MR. JEFFREY P KULSA CRNP
Practice Location Address:

50 MOISEY DR STE 103
HAZLE TOWNSHIP, PA
18202-9297

Practice Phone: 570-501-6580
Practice Fax: 570-501-6598

1912278334 — DR. MICHAEL JAMES MAHONEY D.O.
Practice Location Address:

50 MOISEY DR STE 214
HAZLE TOWNSHIP, PA
18202-9297

Practice Phone: 570-501-6900
Practice Fax: 570-501-6945

Directions to “ DR. BRITTANY PORTONOVA D.P.M.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.