Individual
DR. REBECCA B. VERGARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
175 HIGH ST, NEWTON, NJ 07860
(973) 579-8715
(973) 383-1249
Mailing address
21 LINWOOD AVE, NEWTON, NJ 07860-1605
(973) 383-8996
(973) 383-1249
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA04857500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1056905
—
NJ
Enumeration date
01/10/2007
Last updated
07/08/2007
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