Juan Guillermo Vaillant

NPI 1063509651 - Dermatology - 207N00000X

NPI Details
NPI 1063509651
Gender Male
Enumeration Date 10/06/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
40 THROCKMORTON LN
OLD BRIDGE NJ, 08857-2520, US
Phone (732) 679-0222
Fax
Business Location
123 HAMPTON AVE
BROOKLYN NY, 11235-4132, US
Phone (718) 891-9373
Fax
Toxanomy
Taxonomy Code 207N00000X
License State New York
License Number 134403
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According to our database, Dr. Juan Guillermo Vaillant NPI is 1063509651, taxonomy code is 207N00000X and license number is 134403, license state is located at New York. Juan Guillermo Vaillant physically located at 40 Throckmorton Ln, Old Bridge NJ, 08857-2520. NPI Number Juan Guillermo Vaillant has the Individual type.

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1063509651 NPI number is provided on an as is basis without warranty of any kind. 1063509651 is maintained by the National Plan & Provider Enumeration System. The contents of Juan Guillermo Vaillant are for informational purposes only.