John R Varoscak in Ridgewood - Periodontics

John R Varoscak - NPI 1902023807

John R Varoscak is a Periodontics in Ridgewood, New Jersey. John R Varoscak practices all healthcare services and medical treatments related to Periodontics. The NPI Number for John R Varoscak is 1902023807. The last update date is 2017-01-31.

John R Varoscak's current location address is 545 Rte 17 Ste 2007, Ridgewood, New Jersey. You can contact this provider via phone number 2125814646 and fax number 2127570224. The mailing address for John R Varoscak is 545 Rte 17 Ste 2007, Ridgewood, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name John R Varoscak
Address 545 Rte 17 Ste 2007, Ridgewood, New Jersey
Phone Number 2125814646
Fax Number 2127570224
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1902023807
Provider Enumeration Date 2007-04-20
Last Updated Date 2017-01-31

Provider Mailing Address Detail

Address 545 Rte 17 Ste 2007
City Ridgewood
State New Jersey (NJ)
Post Code 74502035
Phone Number 2125814646
Fax Number 2127570224

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 30026
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
22DI00886700 NJ LICENSE NUMBER

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FAQs about John R Varoscak

What is the unique identifier code issued to John R Varoscak by the Centers for Medicare & Medicaid Services (CMS)?

The John R Varoscak has been assigned the NPI (National Provider Identifier) 1902023807. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical address where John R Varoscak is geographically located?

The John R Varoscak is physically situated at the following location: 545 Rte 17 Ste 2007, Ridgewood, NJ, 74502035.

What is John R Varoscak's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for John R Varoscak is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.

On what date did the John R Varoscak receive the assignment of its 1902023807 from the Centers for Medicare & Medicaid Services?

The John R Varoscak was issued its 1902023807 by the Centers for Medicare & Medicaid Services on 2007-04-20.

When was the John R Varoscak's information last updated?

The John R Varoscak's information was last updated on 2017-01-31.

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