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Individual

JENNIFER T WARGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101230648
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6688-0021
CAREFIRST
VA
05
7237456
VA
05
7237464
VA
05
7237511
VA
05
7237529
VA
05
7247575
VA
Enumeration date
04/18/2006
Last updated
11/04/2011
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