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Individual

MYRA THERESA VARGAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1261 ROUTE 38, SUITE A, HAINESPORT, NJ 08036-2702
(856) 222-1975
(856) 222-0721
Mailing address
1261 ROUTE 38, SUITE A, HAINESPORT, NJ 08036-2702
(856) 222-1975
(856) 222-0721

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MA 62484
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4624807
NH
05
6609805
NH
Enumeration date
05/06/2006
Last updated
05/06/2013
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