MEDICARE: DR. ALLAN STEVEN VARGAS D.C.

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	111N00000X	Chiropractor	38MCOO251000	NJ

General Provider Information

NPI Number	:	1447314927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLAN STEVEN VARGAS D.C.

Provider Business Mailing Address
First Line	:	1064 CLINTON AVE
Second Line	:	185
City	:	IRVINGTON
State	:	NJ
Zip	:	07111-3549
Country	:	US
Telephone Number	:	973-374-1840
Fax Number	:	973-374-6818

Provider Business Practice Location Address
First Line	:	1064 CLINTON AVE
Second Line	:	185
City	:	IRVINGTON
State	:	NJ
Zip	:	07111-3549
Country	:	US
Telephone Number	:	973-374-1840
Fax Number	:	973-374-6818

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

Provider Enumeration Date	:	12/20/2006
Last Update Date	:	07/09/2007

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