Individual provider · Type 1 NPI

Roshan T. Varughese, PA-C

Medical Physician Assistant · Stony Brook, NY

NPI number 1306494133 Active

Practice location

101 Nicolls Rd Dept Of
Stony Brook, NY 11794-0001

Mailing address

PO Box 1559
Stony Brook, NY 11790-0989

Other practice locations

  • 101 Nicolls Rd, Stony Brook, NY 11794-0001 · (631) 444-1665

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1306494133

Roshan T. Varughese, PA-C's National Provider Identifier is 1306494133, issued on Aug 26, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Stony Brook, NY. The record was last updated on Oct 23, 2019.