Dr. Juan G Vaillant
Dermatology in Old Bridge, New Jersey
1063509651- Practice location
- 40 Throckmorton Ln, Old Bridge, NJ 08857-2520
- Phone
- 732-679-0222
- Fax
- —
- Last updated
- July 8, 2007
Juan Guillermo Vaillant is a Dermatology based in Old Bridge, NJ. Juan Guillermo Vaillant practices in Old Bridge, NJ. The NPI Number for Juan Guillermo Vaillant is 1063509651 and holds a License No. 134403 (NY). The current practice location address for Juan Guillermo Vaillant is 40 Throckmorton Ln, Old Bridge, NJ 08857-2520 and can be reached out via phone at 732-679-0222.
Provider Profile Details
- NPI Number
- 1063509651
- Provider Name
- Juan Guillermo Vaillant
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 40 Throckmorton Ln, Old Bridge, NJ 08857-2520
- Phone Number
- 732-679-0222
- Primary Taxonomy
- Dermatology · 207N00000X
- Sole Proprietor
- Yes
- Other Names
- Dr. Juan Vaillant, MD (Former Name)
- Provider Enumeration Date
- October 6, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 40 Throckmorton Ln
Old Bridge, NJ 08857-2520 - City
- Old Bridge
- State
- New Jersey
- Zip
- 08857-2520
- Phone Number
- 732-679-0222
Provider Business Mailing Address Details
- Address
- 123 Hampton Ave
Brooklyn, NY 11235-4132 - City
- Brooklyn
- State
- NY
- Zip
- 11235-4132
- Phone Number
- 718-891-9373
License Information
- License Number
- 134403
- License State
- NY
- Taxonomy
- Dermatology · 207N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dermatology providers near Old Bridge, NJ
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- Dr. Santiago A Centurion, MDDermatology · NPI 1710099585
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- Ms. Serah A DouglasNurse Practitioner, Family · NPI 1053216440
Frequently Asked Questions
What is the NPI number of Dr. Juan G Vaillant?
The NPI number of Dr. Juan G Vaillant is 1063509651. It was assigned on October 6, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Juan G Vaillant?
Dr. Juan G Vaillant is registered under the primary taxonomy Dermatology (code 207N00000X), licensed in NY under license number 134403.
Where does Dr. Juan G Vaillant practice?
The practice location is 40 Throckmorton Ln, Old Bridge, NJ 08857-2520. The office can be reached at 732-679-0222 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063509651 directly on the NPPES registry website.