Individual
DR. ANNA VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
54 TAMARACK LN, POMONA, NY 10970-2012
(848) 641-8629
Mailing address
54 TAMARACK LN, POMONA, NY 10970-2012
(848) 641-8629
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR.0051386
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51857553
—
CO
Enumeration date
06/20/2008
Last updated
12/02/2014
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