Doctor Name: | JOSEPH ANTHONY VARALLO |
NPI Number: | 1164400313 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. LLC |
License Number: | MA19413 |
Business Practice Address: | 303 Central Ave Ste 2 Egg Harbor Township, NJ - 082348353 |
Business Phone Number: | 6096012800 |
Business Fax Number: | 6096012282 |
Mailing Address: | 303 Central Ave, Ste 2 EGG HARBOR TOWNSHIP |
State: | NJ |
Postal Code: | 082340000 |
Phone Number: | 6096012800 |
Fax Number: | 6096012282 |
NPI Enumeration Date: | 01/06/2006 |
NPI Last Update Date: | 11/21/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | MA19413 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |