DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JUAN GUILLERMO VAILLANT

Active Sole Proprietor

DR. JUAN GUILLERMO VAILLANT is a Dermatology healthcare provider located in OLD BRIDGE, New Jersey. NPI 1063509651 is currently active in the NPPES registry. Verify at CMS.

Dermatology · OLD BRIDGE, NJ

Registration Details

NPI Number
1063509651
Provider Type
Individual
Gender
Male
NPI Issued
Oct 6, 2006 (19.858508540384 yrs)
Last Updated
Jul 8, 2007
License
134403 (NY)
Sole Proprietor
Yes

Practice Information

Address
40 THROCKMORTON LN
OLD BRIDGE, NJ, 088572520
Browse NJ providers · Browse ZIP 08857
Phone
7326790222
Primary Specialty
Dermatology
207N00000X

Other Dermatology Providers in OLD BRIDGE, NJ

Name Credential NPI
DR. MARIA JOYCE ROWENA BERNABE MD 1528203809
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.