Healthcare Provider Details

I. General information

NPI: 1336815109
Provider Name (Legal Business Name): ANTHONY C VARGA MT-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/20/2021
Last Update Date: 05/09/2023
Certification Date: 05/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 MONT VERNON RD
MILFORD NH
03055-4116
US

IV. Provider business mailing address

106 MONT VERNON RD
MILFORD NH
03055-4116
US

V. Phone/Fax

Practice location:
  • Phone: 603-305-3931
  • Fax:
Mailing address:
  • Phone: 603-305-3931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: