Provider Demographics
NPI:1659800407
Name:VARGA, BROOKE ANN (SA-C)
Entity Type:Individual
Prefix:
First Name:BROOKE
Middle Name:ANN
Last Name:VARGA
Suffix:
Gender:F
Credentials:SA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 PLEASANT VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:NH
Mailing Address - Zip Code:03887-6114
Mailing Address - Country:US
Mailing Address - Phone:413-822-9676
Mailing Address - Fax:
Practice Address - Street 1:1 GENERAL ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01841-2961
Practice Address - Country:US
Practice Address - Phone:978-683-4000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-06
Last Update Date:2017-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty