# SADDLE RIVER VALLEY MEDICAL ASSOCIATE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407123755
- **Authorized official:** DR. REBECCA M VARGHESE M.D. (PRESIDENT)
- **Authorized official phone:** (201) 926-4908

## Contact information

- **Practice address:** 230 E RIDGEWOOD AVE, PARAMUS, NJ 07652-4142
- **Practice address phone:** (201) 967-4700
- **Mailing address:** 361 LAKE ST, UPPER SADDLE RIVER, NJ 07458-1749
- **Mailing address phone:** (201) 926-4908

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 25MA06805500 | NJ | Yes |

## Other

- **Enumeration date:** 11/30/2011
- **Last updated:** 01/26/2012