Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Juan Guillermo Vaillant

Individual provider Dermatology Physician · NPI 1063509651

Dr. Juan Guillermo Vaillant is a Dermatology Physician in Old Bridge, New Jersey. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
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Practice location Address checks out

40 Throckmorton Ln
Old Bridge, NJ 08857-2520
Phone: (732) 679-0222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 134403 (NY)

Record details

NPI number1063509651
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 6, 2006
Last updated in NPPESJuly 8, 2007

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