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Individual

EDWARD R VARGO JR.

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
RPAC

Contact information

Practice address
550 ORCHARD PARK RD, STE A105, WEST SENECA, NY 14224-2646
(716) 677-6000
(716) 677-6006
Mailing address
550 ORCHARD PARK RD, STE A105, WEST SENECA, NY 14224-2646
(716) 677-6000
(716) 677-6006

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
07/08/2007
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