Search › New Jersey › 207N00000X
Juan Vaillant
NPI 1063509651 · on the registry since 2006 · sole proprietor
Practice
- Address
- 40 Throckmorton Ln
Old Bridge, NJ 08857 - Phone
- (732) 679-0222
- Organisation at this address
- Dermatology Associates Of New Jersey
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207N00000X
207N00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey