Individual
DR. REGINA MATHAI VARGHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25-15 BROADWAY, FAIR LAWN, NJ 07410-3813
(201) 254-2969
Mailing address
7108 E LOWRY BLVD APT 3188, DENVER, CO 80230-7340
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI03020900
NJ
Other
Enumeration date
08/01/2022
Last updated
07/30/2024
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