Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207ND0101X | MOHS-Micrographic Surgeon | 52697 | AZ |
Y | 207ND0101X | MOHS-Micrographic Surgeon | MD463903 | PA |
NPI | 1144510298 |
---|---|
Provider Name | Neal Varughese |
First Address | Jenkintown, PA 19046-2872 |
Second Address | Jenkintown, PA 19046-2872 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2011 |
Last Update Date | 22/11/2021 |