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Individual
MYRA THERESA VARGAS
Active
Individual
MYRA THERESA VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MA 62484
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4624807
—
NH
05
—
6609805
—
NH
Enumeration date
05/06/2006
Last updated
05/06/2013
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