Individual
MR. MARIO S VIEGAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1201 SUSSEX TPKE, RANDOLPH, NJ 07869-2974
(201) 686-8698
Mailing address
9 JACOB WAY, PHILLIPSBURG, NJ 08865-2130
(201) 686-8698
Taxonomy
Speciality
Code
Description
License number
State
224ZR0403X
Driving and Community Mobility Occupational Therapy Assistant
Primary
V41595198204751
NJ
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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