Individual
JOSE M VARGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
30 W AVON RD, SUITE A, AVON, CT 06001-3678
(860) 675-6595
Mailing address
247 JORDAN LN, WETHERSFIELD, CT 06109-1125
(786) 271-0729
(786) 271-0729
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9103089
FL
Other
Enumeration date
08/05/2006
Last updated
02/04/2013
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