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Individual

MR. VARGHESE PAUL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
198 BRIGHTON AVE, LONG BRANCH, NJ 07740-5220
(732) 272-1438
(732) 272-1617
Mailing address
198 BRIGHTON AVE, LONG BRANCH, NJ 07740-5220
(732) 272-1438
(732) 272-1617

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
40QA01195100
NJ

Other

Enumeration date
03/11/2009
Last updated
09/26/2012
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