Organization · NPI-2
A.G.Portfolio
Technician/Technologist, Ophthalmic · Paramus, NJ
NPI number1356352215
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1356352215
- Entity type
- Organization (NPI-2)
- Legal business name
- A.G.Portfolio
- Organization subpart
- No
- Enumeration date
- Aug 10, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1100X | Technician/Technologist, Ophthalmic | 25MA03882000 | NJ | Yes |
Practice location
1 W Ridgewood AveSuite 108
Paramus, NJ 07652-2359
Phone 201-445-5161 · Fax 201-445-7912
Mailing address
1 W Ridgewood AveSuite 108
Paramus, NJ 07652-2359
Phone 201-445-5161 · Fax 201-445-7912
Authorized official
A G Portfolio
Doctor
2014455161
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