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NPI Code Detail

MEDICARE: VARZCARE CLINIC LLC

MEDICARE: VARZCARE CLINIC LLC
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
1251E00000XHome Health Agency
2363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1003576125
Entity Type Code : Organization
Provider Name (Legal Business Name) : VARZCARE CLINIC LLC
Provider Business Mailing Address
First Line : 19 MYRTLE ST
Second Line :
City : HANOVER
State : MA
Zip : 02339-2525
Country : US
Telephone Number : 617-291-7124
Fax Number :
Provider Business Practice Location Address
First Line : 999 N MAIN ST STE 4
Second Line :
City : RANDOLPH
State : MA
Zip : 02368-3072
Country : US
Telephone Number : 617-291-7124
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : CHINYERE MMAKU OFURUM-ONONIWU
Credential :
Telephone Number : 617-291-7124
Provider Enumeration Date : 12/30/2021
Last Update Date : 02/25/2025

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Directions to “VARZCARE CLINIC LLC ” Practice Location

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