Active NPIIndividual provider

Ms. Victoria C Vallejo, PA-C

Physician Assistant in Eatontown, New Jersey

NPI Number1851648687
Practice location
11 Meridian RD, Eatontown, NJ 07724-2242
Fax
732-663-0301
Last updated
April 19, 2018

Victoria Catherine Vallejo is a Physician Assistant based in Eatontown, NJ. Victoria Catherine Vallejo practices in Eatontown, NJ and has the professional credentials of PA-C. The NPI Number for Victoria Catherine Vallejo is 1851648687 and holds a License No. 015871 (NY). The current practice location address for Victoria Catherine Vallejo is 11 Meridian RD, Eatontown, NJ 07724-2242 and can be reached out via phone at 732-663-0300 and via fax at 732-663-0301.

Provider Profile Details

NPI Number
1851648687
Provider Name
Victoria Catherine Vallejo
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
11 Meridian RD, Eatontown, NJ 07724-2242
Phone Number
732-663-0300
Fax Number
732-663-0301
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
Victoria Catherin Glowacky (Former Name)
Provider Enumeration Date
August 10, 2012
Last Update Date
April 19, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Meridian RD
Eatontown, NJ 07724-2242
Zip
07724-2242
Phone Number
732-663-0300
Fax Number
732-663-0301
Eatontown, NJ 07724Get directions →

Provider Business Mailing Address Details

Address
11 Meridian RD
Eatontown, NJ 07724-2242
City
Eatontown
State
NJ
Zip
07724-2242
Phone Number
732-663-0300
Fax Number
732-663-0301

License Information

License Number (1)
015871
License State (1)
NY
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
25MP00464400
License State (2)
NJ
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Victoria C Vallejo, PA-C?

The NPI number of Ms. Victoria C Vallejo, PA-C is 1851648687. It was assigned on August 10, 2012 and is currently active in the NPPES registry.

What is the specialty of Ms. Victoria C Vallejo, PA-C?

Ms. Victoria C Vallejo, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 015871.

Where does Ms. Victoria C Vallejo, PA-C practice?

The practice location is 11 Meridian RD, Eatontown, NJ 07724-2242. The office can be reached at 732-663-0300 (phone) or 732-663-0301 (fax).

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 1851648687 directly on the NPPES registry website.

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