Healthcare Provider Details

I. General information

NPI: 1427196641
Provider Name (Legal Business Name): SAJINI VARGHESE D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 12/09/2020
Certification Date: 12/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S PENNSVILLE AUBURN RD
CARNEYS POINT NJ
08069-2936
US

IV. Provider business mailing address

9B WINDSOR CIR
NEWARK DE
19702-1467
US

V. Phone/Fax

Practice location:
  • Phone: 856-299-3200
  • Fax: 856-299-7183
Mailing address:
  • Phone: 302-366-1981
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberC2-0009134
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number25MB08016100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: