Individual
JESUS VARGAS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 231-8772
(717) 231-8435
Mailing address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 231-8772
(717) 231-8435
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD462558
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103358676
—
PA
Enumeration date
04/01/2016
Last updated
08/09/2021
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