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Individual

DR. JOHN R VAROSCAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
545 RTE 17 STE 2007, RIDGEWOOD, NJ 07450-2035
(212) 581-4646
(212) 757-0224
Mailing address
545 RTE 17 STE 2007, RIDGEWOOD, NJ 07450-2035
(201) 447-9700
(201) 447-4099

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
030026
NY
1223P0300X
Periodontics
Primary
08867
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22DI00886700
LICENSE NUMBER
NJ
Enumeration date
04/20/2007
Last updated
01/31/2017
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