Individual
DR. MINOTHY VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
79 STRATFORD CIR, EDISON, NJ 08820-1804
(214) 789-5928
Mailing address
79 STRATFORD CIR, EDISON, NJ 08820-1804
(214) 789-5928
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00689000
NJ
Other
Enumeration date
12/02/2016
Last updated
12/02/2016
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