Individual
DR. JUAN ANGEL VEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 RED MILLS RD, WALLKILL, NY 12589-3220
(845) 744-9105
(845) 744-9107
Mailing address
800 RED MILLS RD, WALLKILL, NY 12589-3220
(845) 744-9105
(845) 744-9107
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
238612
NY
208000000X
Pediatrics Physician
J9837
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110715302
—
TX
Enumeration date
07/07/2006
Last updated
07/08/2021
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