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Johnson Varughese, PA
Medical Physician Assistant in Newburgh, New York
NPI 1780867416

Johnson Varughese is a Medical Physician Assistant based in New Windsor, NY and is specialized in Medical. Johnson Varughese practices in Newburgh, NY and has the professional credentials of PA. The NPI Number for Johnson Varughese is 1780867416 and holds a License No. 012129 (New York).

The current practice location address for Johnson Varughese is 70 Dubois St, Newburgh, NY and can be reached out via phone at 845-561-4400.

Location: 70 Dubois St, Newburgh, NY, 12553-5557
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780867416
Provider Name
Johnson Varughese
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
70 Dubois St, Newburgh, NY, 12553-5557
Phone Number
845-561-4400
Fax Number
Provider Enumeration Date
12/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
012129 01 NY LICENSE
institution
Provider Business Practice Location Address Details
Address
70 Dubois St
City
Newburgh
State
New York
Zip
12550-4851
Phone Number
845-561-4400
Fax Number
person
Provider Business Mailing Address Details
Address
70 Dubois St
City
Newburgh
State
New York
Zip
12550-4851
Phone Number
845-561-4400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
012129 (New York)
Definition
Definition to come...
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