Provider Demographics
NPI:1992496079
Name:VARUGHESE, SOJIMOL P
Entity type:Individual
Prefix:
First Name:SOJIMOL
Middle Name:P
Last Name:VARUGHESE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8817 DEWEES ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-1441
Mailing Address - Country:US
Mailing Address - Phone:215-239-0774
Mailing Address - Fax:
Practice Address - Street 1:2503 WELSH RD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19114-3238
Practice Address - Country:US
Practice Address - Phone:215-671-0544
Practice Address - Fax:215-671-9086
Is Sole Proprietor?:No
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other