| Tony Varghese Md Pa., Llc | |
|
19 Fontana Ln Ste.208 Rosedale MD 21237-3047 | |
| (410) 574-4720 | |
| Not Available |
| Full Name | Tony Varghese Md Pa., Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 19 Fontana Ln, Rosedale, Maryland |
| Authorized Official Name and Position | Carla Fleet (OFFICE MANAGER) |
| Authorized Official Contact | 4103832072 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tony Varghese Md Pa., Llc 19 Fontana Ln Ste.208 Rosedale MD 21237-3047 Ph: (410) 574-4720 | Tony Varghese Md Pa., Llc 19 Fontana Ln Ste.208 Rosedale MD 21237-3047 Ph: (410) 574-4720 |
| NPI Number | 1649600222 |
|---|---|
| Provider Enumeration Date | 11/19/2013 |
| Last Update Date | 10/08/2014 |
| Medicare PECOS PAC ID | 3870715535 |
|---|---|
| Medicare Enrollment ID | O20141112002190 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649600222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | D0064559 (Maryland) | Primary |
| Provider Name | Tony Varghese |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992865448 PECOS PAC ID: 5193827129 Enrollment ID: I20070222000348 |
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