Mr. Pradosh Varghese
Medical Physician Assistant in Nutley, NJ(View on Map)
Full Name
Mr. Pradosh Varghese
NPI Number
1063927812
NPI Type
Individual Provider
Gender
Male
Enumeration Date
12/01/2017
Specialties
(Taxonomies)Licenses
State
New Jersey
License Number
25MP00459800
Contact
Information
Purpose
Mailing
Location
Address
7 TWINBORO LN
124 WASHINGTON AVE
City
Bergenfield
Nutley
State
NJ
NJ
Postal Code
07621-1245
07110-3502
Country
US
US
Telephone Number
(551) 497-8255
(973) 695-0885
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/05/2023