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Individual

TONY P. VARGAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
2545 SCHOENERSVILLE RD, BETHLEHEM, PA 18017-7300
(610) 402-9099
(610) 402-9029
Mailing address
1245 S CEDAR CREST BLVD, SUITE #301, ALLENTOWN, PA 18103-6258
(610) 402-9099
(610) 402-9029

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN284390L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
048968
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0016528370002
PA
01
02228502
CAPITAL ADVANTAGE
PA
01
0437996000
INDEP. BLUE CROSS
PA
01
0968265
FIRST PRIORITY
PA
01
11754815
CAQH
PA
01
1545262
GATEWAY
PA
01
73771
GEISINGER
PA
01
9204474
AETNA
PA
Enumeration date
09/29/2005
Last updated
03/25/2013
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