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Organization

GUSTAVO Y. VARGAS, M.D., INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GUSTAVO Y VARGAS M.D. (PRESIDENT)
(757) 545-5073
Entity
Organization

Contact information

Practice address
3906 BAINBRIDGE BLVD, CHESAPEAKE, VA 23324-1610
(757) 545-5073
(757) 545-7077
Mailing address
3906 BAINBRIDGE BLVD, CHESAPEAKE, VA 23324-1610
(757) 545-5073
(757) 545-7077

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
208D00000X
General Practice Physician
Primary

Other

Enumeration date
09/11/2009
Last updated
03/02/2010
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