Individual
MATHEW VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8901 KENNEDY BLVD STE 4SW, NORTH BERGEN, NJ 07047-5344
(201) 374-1718
(201) 374-1719
Mailing address
8901 KENNEDY BLVD STE 4SW, NORTH BERGEN, NJ 07047-5344
(201) 374-1718
(201) 374-1719
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
25MA08720900
NJ
207R00000X
Internal Medicine Physician
25MA08720900
NJ
Other
Enumeration date
06/29/2006
Last updated
06/04/2024
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