Individual
BENEDICT VARGHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
380 WAGNER CT, PARAMUS, NJ 07652-4822
(954) 980-9344
Mailing address
380 WAGNER CT, PARAMUS, NJ 07652-4822
(954) 980-9344
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
009713
NY
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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