Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | MD013556E | PA |
NPI | 1023068996 |
---|---|
Provider Name | Dr. Vincent J. Varano |
First Address | Danville, PA 17822-3034 |
Second Address | Danville, PA 17822-2111 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C31923 | (02) |