MEDICARE: RONALD PETER PORTADIN M.D.

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	207VG0400X	Gynecology Physician	25MA02273800	NJ

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	:	1790770543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONALD PETER PORTADIN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 536
Second Line	:
City	:	VOORHEES
State	:	NJ
Zip	:	08043-0536
Country	:	US
Telephone Number	:	856-669-6050
Fax Number	:	856-651-0794

Provider Business Practice Location Address
First Line	:	3980 BLACK HORSE PIKE
Second Line	:
City	:	MAYS LANDING
State	:	NJ
Zip	:	08330-3107
Country	:	US
Telephone Number	:	609-625-1600
Fax Number	:	609-625-2610

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

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	08/03/2010

Similar Medicare Providers

1639155542 — DR. JONATHAN D GEWIRTZ M.D.
Practice Location Address:

3980 BLACK HORSE PIKE
MAYS LANDING, NJ
08330-3107

Practice Phone: 609-625-1600
Practice Fax: 609-625-2610

1982717187 — ROBERT M GLASSBERG MD
Practice Location Address:

4450 BLACK HORSE PIKE , STE 3972
MAYS LANDING, NJ
08330-3107

Practice Phone: 609-677-9729
Practice Fax: 609-652-6270

1285722785 — DAVID PODOLNICK D.D.S.
Practice Location Address:

3932 BLACK HORSE PIKE
MAYS LANDING, NJ
08330-3107

Practice Phone: 609-909-1100
Practice Fax: 609-909-9199

1326136821 — HAMILTON FAMILY DENTAL, P.A.
Practice Location Address:

3932 BLACK HORSE PIKE
MAYS LANDING, NJ
08330-3107

Practice Phone: 609-909-1100
Practice Fax: 609-909-9199

1821173220 — DR. DANIEL JOSEPH COLACHE D.C.
Practice Location Address:

3934 BLACK HORSE PIKE , FESTIVAL AT HAMILTON CENTER
MAYS LANDING, NJ
08330-3107

Practice Phone: 609-625-6399
Practice Fax:

1902760028 — RENEW YOUR MIND
Practice Location Address:

6360 MARYLAND AVE
MAYS LANDING, NJ
08330-1047

Practice Phone: 609-507-5443
Practice Fax:

Directions to “ RONALD PETER PORTADIN M.D.” 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 © 2007-2025 (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.