MEDICARE: RAJEEV VARGHESE

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
1	227800000X	Certified Respiratory Therapist

General Provider Information

NPI Number	:	1215306857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJEEV VARGHESE

Provider Business Mailing Address
First Line	:	288 NEW MILFORD AVE
Second Line	:
City	:	DUMONT
State	:	NJ
Zip	:	07628-2146
Country	:	US
Telephone Number	:	201-966-1437
Fax Number	:

Provider Business Practice Location Address
First Line	:	288 NEW MILFORD AVE
Second Line	:
City	:	DUMONT
State	:	NJ
Zip	:	07628-2146
Country	:	US
Telephone Number	:	201-966-1437
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2015
Last Update Date	:	09/24/2015

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Directions to “ RAJEEV VARGHESE ” Practice Location

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