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Individual
EDWARD R VARGO JR.
Active
Individual
EDWARD R VARGO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPAC
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0069691
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026502301
UNIVERA HEALTHCARE
NY
01
—
000570211001
BLUE CROSS BLUE SHIELD
NY
05
—
01998627
—
NY
01
—
9512129
INDEPENDENT HEALTH
NY
Enumeration date
12/14/2005
Last updated
07/13/2026
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