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Organization

A.G.PORTFOLIO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. A G PORTFOLIO JR. M.D. (DOCTOR)
(201) 445-5161
Entity
Organization

Contact information

Practice address
1 W RIDGEWOOD AVE, SUITE 108, PARAMUS, NJ 07652-2359
(201) 445-5161
(201) 445-7912
Mailing address
1 W RIDGEWOOD AVE, SUITE 108, PARAMUS, NJ 07652-2359
(201) 445-5161
(201) 445-7912

Taxonomy

Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
25MA03882000
NJ

Other

Enumeration date
08/10/2006
Last updated
08/22/2020
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