Individual
DR. JENNIFER A WARGO
Active
Individual
DR. JENNIFER A WARGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
223747
MA
2086X0206X
Surgical Oncology Physician
Primary
44315
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2104661
—
MA
05
—
326759301 (MDACC)
—
TX
01
—
468303
TUFTS HEALTH PLAN
MA
01
—
8DY718
BCBS (MDACC)
TX
01
—
J28734
BCBS MA
MA
Enumeration date
02/13/2006
Last updated
03/26/2014
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