Vargas, Myra Theresa

Vargas, Myra Theresa is an individual health care provider with primary practice located at 1261 Route 38 Suite A, Hainesport NJ 08036-2702. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Vargas, Myra Theresa can be contacted via phone (856) 222-1975.

Contact Information

Primary practice address
1261 Route 38 Suite A Hainesport NJ 08036-2702
Fax: (856) 222-0721
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MA 62484 New Jersey

Profile Details

NPI number 1285683573
LBN Legal business name Vargas, Myra Theresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated May 6th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285683573 NPPES
New Hampshire MEDICAID 4624807
New Hampshire MEDICAID 6609805

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