A.g.portfolio
NPI #1356352215 in Paramus, New Jersey
Provider Information
- NPI Number
- 1356352215
- Entity Type
- Organization
- Organization Name
- A.g.portfolio
- Primary Specialty
- Technician/Technologist - Ophthalmic
- Enumeration Date
- Aug 10, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1 W RIDGEWOOD AVE
- Address 2
- SUITE 108
- City
- Paramus
- State
- New Jersey
- ZIP Code
- 07652-2359
- Phone
- (201) 445-5161
Authorized Official
- Name
- DR. A G PORTFOLIO JR., M.D.
- Title
- DOCTOR
- Phone
- (201) 445-5161
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Ophthalmic — Ophthalmic |
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