Kathleen Pormento
NPI #1306213343 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1306213343
- Entity Type
- Individual
- Name
- Kathleen Pormento
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Aug 25, 2015
- Last Updated
- Apr 3, 2020
Practice Location
- Address
- 92 2ND ST
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601-2191
- Phone
- (551) 996-5855
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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