| Doctor Name: | JOSE C VARGHESE |
| NPI Number: | 1366419319 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 209886 |
| Business Practice Address: | 88 E Newton St Boston, MA - 021182308 |
| Business Phone Number: | 6176386610 |
| Business Fax Number: | 6176386616 |
| Mailing Address: | 850 Harrison Ave, Yacc Bn-c7 BOSTON |
| State: | MA |
| Postal Code: | 021184001 |
| Phone Number: | 6174145405 |
| Fax Number: | 6174146031 |
| NPI Enumeration Date: | 03/08/2006 |
| NPI Last Update Date: | 03/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 209886 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |