Individual
MR. SAMUEL PAUL PORFIDO JR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4 2ND AVE STE 104, DENVILLE, NJ 07834-2748
(973) 627-8818
(973) 627-5469
Mailing address
4 2ND AVE STE 104, DENVILLE, NJ 07834-2748
(973) 627-8818
(973) 627-5469
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
D 1097
NJ
Other
Enumeration date
09/27/2006
Last updated
03/31/2009
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