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Individual

MRS. SUMA VINU VARGHESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
2901 JOLLY RD, PLYMOUTH MEETING, PA 19462-2324
(610) 272-8221
Mailing address
9968 GARDENIA LN, PHILADELPHIA, PA 19115-1100
(215) 720-5728

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
SP028310
PA
363LG0600X
Gerontology Nurse Practitioner
Primary
SP028310
PA

Other

Enumeration date
09/26/2023
Last updated
09/26/2023
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