Individual
DR. JOHN JACOB VERGHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1 JARRETT WHITE RD, DEPARTMENT OF SURGERY, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-3478
Mailing address
1 JARRETT WHITE RD, DEPARTMENT OF SURGERY, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036-100576
IL
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
2002009379
MO
Other
Enumeration date
01/23/2006
Last updated
11/09/2010
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