Provider Demographics
NPI:1649420746
Name:VARADI, BRUCE PAUL (LMP)
Entity Type:Individual
Prefix:MR
First Name:BRUCE
Middle Name:PAUL
Last Name:VARADI
Suffix:
Gender:M
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 SOUNDVIEW DR
Mailing Address - Street 2:SUITE C-101
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-2000
Mailing Address - Country:US
Mailing Address - Phone:253-858-4845
Mailing Address - Fax:253-857-8305
Practice Address - Street 1:5800 SOUNDVIEW DR
Practice Address - Street 2:SUITE C-101
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-2000
Practice Address - Country:US
Practice Address - Phone:253-858-4845
Practice Address - Fax:253-857-8305
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-25
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00023459171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor