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Organization
GUSTAVO Y. VARGAS, M.D., INC
Active
Organization
GUSTAVO Y. VARGAS, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GUSTAVO Y VARGAS M.D. (PRESIDENT)
(757) 545-5073
Entity
Organization
Contact information
Practice address
3906 BAINBRIDGE BLVD, CHESAPEAKE, VA 23324-1610
(757) 545-5073
(757) 545-7077
Mailing address
3906 BAINBRIDGE BLVD, CHESAPEAKE, VA 23324-1610
(757) 545-5073
(757) 545-7077
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
NULL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
09/11/2009
Last updated
03/02/2010
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