Provider Demographics
NPI:1669477956
Name:PORTFOLIO, ALMERINDO G JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ALMERINDO
Middle Name:G
Last Name:PORTFOLIO
Suffix:JR
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:85 HARRISTOWN RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GLEN ROCK
Mailing Address - State:NJ
Mailing Address - Zip Code:07452-3329
Mailing Address - Country:US
Mailing Address - Phone:201-445-5161
Mailing Address - Fax:201-445-7912
Practice Address - Street 1:85 HARRISTOWN RD
Practice Address - Street 2:SUITE 102
Practice Address - City:GLEN ROCK
Practice Address - State:NJ
Practice Address - Zip Code:07452-3329
Practice Address - Country:US
Practice Address - Phone:201-445-5161
Practice Address - Fax:201-445-7912
Is Sole Proprietor?:No
Enumeration Date:2005-06-15
Last Update Date:2015-11-05
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA03882000207W00000X
NY140834-1207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C04779Medicare UPIN
NJ451806Medicare ID - Type Unspecified