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NPI Code Detail

MEDICARE: DR. SARAH JANE DE ASIS VARGAS MD

MEDICARE: DR. SARAH JANE DE ASIS VARGAS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0805XGeriatric Psychiatry Physician049930CT
2390200000XStudent in an Organized Health Care Education/Training Program
32084P0800XPsychiatry Physician049930CT

General Provider Information

NPI Number : 1225293749
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARAH JANE DE ASIS VARGAS MD
Provider Business Mailing Address
First Line : 1007 N MAIN ST
Second Line :
City : DAYVILLE
State : CT
Zip : 06241-2170
Country : US
Telephone Number : 860-774-2020
Fax Number :
Provider Business Practice Location Address
First Line : 140 N FRONTAGE RD
Second Line :
City : MANSFIELD CENTER
State : CT
Zip : 06250-1648
Country : US
Telephone Number : 860-774-2020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2008
Last Update Date : 05/18/2023

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