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Individual
DR. JOHN R VAROSCAK
Active
Individual
DR. JOHN R VAROSCAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
030026
NY
1223P0300X
Periodontics
Primary
08867
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22DI00886700
LICENSE NUMBER
NJ
Enumeration date
04/20/2007
Last updated
01/31/2017
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