Provider Demographics
NPI:1114117058
Name:DR. PHILIP H. VARNER
Entity Type:Organization
Organization Name:DR. PHILIP H. VARNER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:H
Authorized Official - Last Name:VARNER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:609-267-7456
Mailing Address - Street 1:103 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT HOLLY
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-2039
Mailing Address - Country:US
Mailing Address - Phone:609-702-9103
Mailing Address - Fax:609-702-9122
Practice Address - Street 1:103 MADISON AVE
Practice Address - Street 2:
Practice Address - City:MOUNT HOLLY
Practice Address - State:NJ
Practice Address - Zip Code:08060-2039
Practice Address - Country:US
Practice Address - Phone:609-702-9103
Practice Address - Fax:609-702-9122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-26
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty