BENITA SHAJI VARGHESE

RIDGEWOOD, NJ
NPI1386209229
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NJ  26NJ00897300)
Enumeration Date2019-05-07
Last Update Date2019-05-07
Business Address
BENITA SHAJI VARGHESE
223 N VAN DIEN AVE
RIDGEWOOD, NJ 07450-2726
Phone number: 201-447-8000
Mailing Address
BENITA SHAJI VARGHESE
1 GARRETT CT
CHESTNUT RIDGE, NY 10977-6739
Phone number: 845-352-8548
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