JUAN GUILLERMO VAILLANT

OLD BRIDGE, NJ
NPI1063509651
Former NameJUAN VAILLANT
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207N00000X Dermatology
(Licence: NY  134403)
Enumeration Date2006-10-06
Last Update Date2007-07-08
Business Address
Dr. JUAN GUILLERMO VAILLANT
40 THROCKMORTON LN
OLD BRIDGE, NJ 08857-2520
Phone number: 732-679-0222
Mailing Address
Dr. JUAN GUILLERMO VAILLANT
123 HAMPTON AVE
BROOKLYN, NY 11235-4132
Phone number: 718-891-9373
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